Individual
MS. MARY L BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5981 E. GRANT RD., STE 155, TUCSON, AZ 85712
(520) 886-5315
(520) 298-8204
Mailing address
PO BOX 43100, TUCSON, AZ 85733
(520) 722-3777
(520) 296-6224
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN057171
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
880460
—
AZ
Enumeration date
06/06/2006
Last updated
10/09/2012
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