Healthcare Provider Details

I. General information

NPI: 1265693881
Provider Name (Legal Business Name): CINDY MARIE BROWN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2008
Last Update Date: 12/16/2024
Certification Date: 12/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20172 E STAGECOACH TRL
MAYER AZ
86333-2357
US

IV. Provider business mailing address

15029 N THOMPSON PEAK PARKWAY STE B-111 PMB 438
SCOTTSDALE AZ
85260-2223
US

V. Phone/Fax

Practice location:
  • Phone: 800-288-6206
  • Fax: 800-960-4547
Mailing address:
  • Phone: 480-681-3450
  • Fax: 800-960-4547

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP3224
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: