MEDICARE: MR. BRANDON DREW OCHS NURSE PRACTITIONER

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	208VP0014X	Interventional Pain Medicine Physician	RNP313999	AZ

General Provider Information

NPI Number	:	1679309298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BRANDON DREW OCHS NURSE PRACTITIONER

Provider Business Mailing Address
First Line	:	5445 DTC PKWY STE 1130
Second Line	:
City	:	GREENWOOD VILLAGE
State	:	CO
Zip	:	80111-3038
Country	:	US
Telephone Number	:	720-749-5599
Fax Number	:	720-925-5897

Provider Business Practice Location Address
First Line	:	2222 W DUNLAP AVE # 190
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85021-2800
Country	:	US
Telephone Number	:	602-325-2024
Fax Number	:	720-925-5897

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

Provider Enumeration Date	:	09/10/2024
Last Update Date	:	10/31/2024

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