Provider Demographics
NPI:1972396760
Name:BROWNELL, DAWENA
Entity type:Individual
Prefix:
First Name:DAWENA
Middle Name:
Last Name:BROWNELL
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 1:23416 DAISEY DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA STATION
Mailing Address - State:OH
Mailing Address - Zip Code:44028-9876
Mailing Address - Country:US
Mailing Address - Phone:216-804-0533
Mailing Address - Fax:
Practice Address - Street 1:23416 DAISEY DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA STATION
Practice Address - State:OH
Practice Address - Zip Code:44028-9876
Practice Address - Country:US
Practice Address - Phone:216-804-0533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-26
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care