NPI 1699236000 · live from the CMS NPI Registry
Charmaine Brown
Registered Nurse in Benton Harbor, MI. National Provider Identifier 1699236000, active.
NPI record
| NPI | 1699236000 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse 163W00000X |
| Practice location | 1022 E Main St, Benton Harbor, MI 49022 |
| Practice phone | 269-926-0015 |
| Mailing address | 461 Beveridge Ave, Benton Harbor, MI 49022 |
| Enumerated | March 28, 2019 |
| Last updated | March 28, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Addiction (Substance Use Disorder) | 163WA0400X | 4704335998 (MI) |
| Registered Nurse, Hospice | 163WH1000X | 4704335998 (MI) |
| Registered Nurse primary | 163W00000X | 4704335998 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.