Individual
MS. AVERY BRAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3950 E BUTLER AVE, FLAGSTAFF, AZ 86004-7852
(928) 527-5502
Mailing address
3950 E BUTLER AVE, FLAGSTAFF, AZ 86004-7852
(928) 527-5502
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN082662
AZ
Other
Enumeration date
10/23/2009
Last updated
10/23/2009
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