Organization
RESIDENTIAL PRESCRIPTIVE SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH BRASFIELD (OWNER)
(480) 388-5818
Entity
Organization
Contact information
Practice address
4940 S 162ND ST, GILBERT, AZ 85298-8466
(480) 388-5818
Mailing address
2942 N 24TH ST STE 115, PMB 874450, PHOENIX, AZ 85016-7849
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
07/30/2025
Last updated
12/11/2025
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