Provider Demographics
NPI:1871387639
Name:BROWN, AUDREY SARAH RAIN
Entity type:Individual
Prefix:
First Name:AUDREY
Middle Name:SARAH RAIN
Last Name:BROWN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:236 S 20TH ST
Mailing Address - Street 2:
Mailing Address - City:BEATRICE
Mailing Address - State:NE
Mailing Address - Zip Code:68310-4219
Mailing Address - Country:US
Mailing Address - Phone:661-401-4290
Mailing Address - Fax:
Practice Address - Street 1:236 S 20TH ST
Practice Address - Street 2:
Practice Address - City:BEATRICE
Practice Address - State:NE
Practice Address - Zip Code:68310-4219
Practice Address - Country:US
Practice Address - Phone:661-401-4290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider