Provider Demographics
NPI:1366950537
Name:BROWN, ALMA DELIA
Entity type:Individual
Prefix:
First Name:ALMA
Middle Name:DELIA
Last Name:BROWN
Suffix:
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 1:112 S WATER ST # 111
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89015-2312
Mailing Address - Country:US
Mailing Address - Phone:702-564-3049
Mailing Address - Fax:
Practice Address - Street 1:112 S WATER ST # 111
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89015-2312
Practice Address - Country:US
Practice Address - Phone:702-564-3049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-22
Last Update Date:2018-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant