Individual
MR. BRIAN RUSSELL MENGHINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
13395 N MARANA MAIN ST, BLDG B, MARANA, AZ 85653-7008
(520) 682-1091
(520) 682-3801
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 682-4111
(520) 818-3630
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN166149
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP9918
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
243697
—
AZ
Enumeration date
02/07/2017
Last updated
09/29/2021
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