Provider Demographics
NPI:1811723471
Name:BROWN, DAVIA
Entity type:Individual
Prefix:MS
First Name:DAVIA
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:975 SILVERCREST AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44314-2863
Mailing Address - Country:US
Mailing Address - Phone:330-606-9062
Mailing Address - Fax:
Practice Address - Street 1:975 SILVERCREST AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44314-2863
Practice Address - Country:US
Practice Address - Phone:330-606-9062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-10
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171W00000X, 174N00000X
OHDOU.000011374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No171W00000XOther Service ProvidersContractor
No174N00000XOther Service ProvidersLactation Consultant, Non-RN