| NPI | 1558998435 |
|---|---|
| Former Name | CELECHIA AVADAWNE BROWN |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA f03200572) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN199114) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: GA f03200572) | |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-03-23 |