Individual
TATUM PATRICE BRIMLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7650 S 59TH AVE STE A105, LAVEEN, AZ 85339-3071
(602) 476-8888
Mailing address
7650 S 59TH AVE STE A105, LAVEEN, AZ 85339-3071
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11410
AZ
Other
Enumeration date
06/05/2024
Last updated
11/12/2025
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