Provider Demographics
NPI:1871261875
Name:BROWN, YVES (RNC-MNN)
Entity type:Individual
Prefix:
First Name:YVES
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:RNC-MNN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4020 FULLERTON ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48238-3233
Mailing Address - Country:US
Mailing Address - Phone:313-600-9559
Mailing Address - Fax:
Practice Address - Street 1:4020 FULLERTON ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48238-3233
Practice Address - Country:US
Practice Address - Phone:313-600-9559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704335521163WH0200X, 163W00000X, 163WW0101X, 163WM0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WM0102XNursing Service ProvidersRegistered NurseMaternal NewbornGroup - Single Specialty
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163W00000XNursing Service ProvidersRegistered Nurse
No163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, AmbulatoryGroup - Single Specialty