Individual
MRS. RAVEN DENEICE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1101 N CENTRAL AVE STE 200, PHOENIX, AZ 85004-1844
(602) 307-5330
Mailing address
1101 N CENTRAL AVE STE 200, PHOENIX, AZ 85004-1844
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
228548
AZ
Other
Enumeration date
03/03/2023
Last updated
08/04/2023
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