Individual provider · NPI-1
Breeshanna R Brown, CNA
Nurse's Aide · Independence, MO
NPI number1720949290
StatusActive
Last updated in NPPESDec 2, 2025
Details
- NPI
- 1720949290
- Entity type
- Individual (NPI-1)
- Name
- Breeshanna R Brown
- Credential
- CNA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 24, 2025
- Certification date
- Dec 2, 2025
- Last updated
- Dec 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | 107039 | – | Yes |
| 172A00000X | Driver | 107039 | MO | |
| 253Z00000X | In Home Supportive Care | 107039 | MO | |
| 261QM0850X | Clinic/Center, Adult Mental Health | 107039 | MO | |
| 373H00000X | Day Training/Habilitation Specialist | 107039 | MO | |
| 3747A0650X | Technician, Attendant Care Provider | 107039 | MO | |
| 3747P1801X | Technician, Personal Care Attendant | 107039 | MO | |
| 374T00000X | Religious Nonmedical Nursing Personnel | 107039 | MO | |
| 374U00000X | Home Health Aide | 107039 | MO | |
| 310500000X | Intermediate Care Facility, Mental Illness | 107039 | MO | |
| 311500000X | Alzheimer Center (Dementia Center) | 107039 | MO | |
| 311ZA0620X | Custodial Care Facility, Adult Care Home | 107039 | MO | |
| 372500000X | Chore Provider | 107039 | MO | |
| 372600000X | Adult Companion | 107039 | MO | |
| 376J00000X | Homemaker | 107039 | MO |
Other names
- Bree Brown (Other Name)
Practice location
904 E Frederick St Apt BIndependence, MO 64050-3134
Phone 816-406-7612
Mailing address
904 E Frederick St Apt BIndependence, MO 64050-3134
Phone 816-406-7612
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