Individual
MS. MARY ELIZABETH BRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANPC
Contact information
Practice address
233 E SOUTHERN AVE, #24256, TEMPE, AZ 85282-5189
(602) 329-0174
Mailing address
201 W GUADALUPE RD, GILBERT, AZ 85233-3332
(602) 329-0174
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP3650
AZ
Other
Enumeration date
10/07/2010
Last updated
11/24/2014
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