Individual
AMBREA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2730 N 79TH AVE, PHOENIX, AZ 85035-1226
(623) 691-5300
Mailing address
2730 N 79TH AVE, PHOENIX, AZ 85035-1226
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP050601
AZ
Other
Enumeration date
05/01/2015
Last updated
04/12/2016
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