Provider Demographics
NPI:1891029922
Name:BROWN, DEANNA GAIL (PMHNP-BC; CNM)
Entity type:Individual
Prefix:MS
First Name:DEANNA
Middle Name:GAIL
Last Name:BROWN
Suffix:
Gender:F
Credentials:PMHNP-BC; CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:S34W34601 COUNTY ROAD C
Mailing Address - Street 2:
Mailing Address - City:DOUSMAN
Mailing Address - State:WI
Mailing Address - Zip Code:53118-9635
Mailing Address - Country:US
Mailing Address - Phone:414-940-9437
Mailing Address - Fax:
Practice Address - Street 1:S34W34601 COUNTY ROAD C
Practice Address - Street 2:
Practice Address - City:DOUSMAN
Practice Address - State:WI
Practice Address - Zip Code:53118-9635
Practice Address - Country:US
Practice Address - Phone:414-940-9437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-22
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI148835-32363LX0001X
WI3882363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI3882OtherADVANCED PRACTICE NURSE PRESCRIBER
WI148835-32OtherNURSE MIDWIFE