Provider Demographics
NPI:1174407993
Name:BROWN, PATRICIA ELAINE I
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ELAINE
Last Name:BROWN
Suffix:I
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 1:2629 YARDLEY ST
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32735-9025
Mailing Address - Country:US
Mailing Address - Phone:352-702-7850
Mailing Address - Fax:
Practice Address - Street 1:2629 YARDLEY ST
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32735-9025
Practice Address - Country:US
Practice Address - Phone:352-702-7850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9336421251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health