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NPI Code Detail

MEDICARE: MARGARET KAY PENNER BRODIE RN

MEDICARE: MARGARET KAY PENNER BRODIE RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN176116AZ

General Provider Information

NPI Number : 1134077613
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET KAY PENNER BRODIE RN
Provider Business Mailing Address
First Line : 5881 E MAYO BLVD
Second Line : 3RD FLOOR HEM ONC
City : PHOENIX
State : AZ
Zip : 85054-4504
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5881 E MAYO BLVD
Second Line :
City : PHOENIX
State : AZ
Zip : 85054-4504
Country : US
Telephone Number : 480-342-4800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2026
Last Update Date : 03/19/2026

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