Individual
SHANNON MARIE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
250 E DUNLAP AVE, PHOENIX, AZ 85020-2825
(602) 445-0751
(602) 424-8128
Mailing address
9225 N 3RD ST, SUITE 300, PHOENIX, AZ 85020-2439
(602) 445-0751
(602) 424-8128
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP4920
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP4920
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
822748
—
AZ
01
—
AP4920
ACUTE CARE NURSE PRACTITIONER
AZ
Enumeration date
03/13/2013
Last updated
09/23/2024
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