Individual
MRS. BRENDA A. AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3165 STILLWATER DR, PRESCOTT, AZ 86305-7173
(928) 277-0875
(608) 716-2838
Mailing address
3165 STILLWATER DR, PRESCOTT, AZ 86305-7173
(928) 442-5495
(608) 716-2838
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP1721
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP1721
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013959964
INDIVIDUAL
AZ
Enumeration date
06/12/2006
Last updated
08/15/2023
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