Basic Information
| Provider Information | |||||||||
| NPI: | 1003156308 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BROWN | ||||||||
| FirstName: | SABRINA | ||||||||
| MiddleName: | F | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 180 TURKEY FARM RD | ||||||||
| Address2: | |||||||||
| City: | BLYTHEWOOD | ||||||||
| State: | SC | ||||||||
| PostalCode: | 290169699 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8036914049 | ||||||||
| FaxNumber: | 8037387520 | ||||||||
| Practice Location | |||||||||
| Address1: | 180 TURKEY FARM RD | ||||||||
| Address2: | |||||||||
| City: | BLYTHEWOOD | ||||||||
| State: | SC | ||||||||
| PostalCode: | 290169699 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8036914049 | ||||||||
| FaxNumber: | 8037387520 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/22/2013 | ||||||||
| LastUpdateDate: | 02/22/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WS0200X | 82977 | SC | Y | Nursing Service Providers | Registered Nurse | School |
No ID Information.