# DESERT SANDS MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DESERT SANDS MEDICAL GROUP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649802828
- **Authorized official:** STEPHANIE A BRADY PMHNP (OWNER)
- **Authorized official phone:** (480) 648-5217

## Contact information

- **Practice address:** 34406 N 27TH DR STE 140, PHOENIX, AZ 85085-6079
- **Practice address phone:** (480) 648-5217
- **Practice address fax:** (623) 321-2352
- **Mailing address:** 34406 N 27TH DR STE 140, PHOENIX, AZ 85085-6079
- **Mailing address phone:** (480) 648-5217
- **Mailing address fax:** (623) 321-2352

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/06/2020
- **Last updated:** 02/06/2020