MEDICARE: LUCINDY ANDERSON-BROWN

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
1	363L00000X	Nurse Practitioner	RNP291825	AZ

General Provider Information

NPI Number	:	1609560010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUCINDY ANDERSON-BROWN

Provider Business Mailing Address
First Line	:	9015 W UNION HILLS DR STE 107
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85382-3106
Country	:	US
Telephone Number	:	623-313-2910
Fax Number	:

Provider Business Practice Location Address
First Line	:	9015 W UNION HILLS DR STE 107
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85382-3106
Country	:	US
Telephone Number	:	623-313-2910
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2023
Last Update Date	:	06/07/2023

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Directions to “ LUCINDY ANDERSON-BROWN ” Practice Location

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