Healthcare Provider Details

I. General information

NPI: 1346274974
Provider Name (Legal Business Name): BRIAN D. AREY ANP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 08/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1144 E MCDOWELL RD #300
PHOENIX AZ
85006-2664
US

IV. Provider business mailing address

2929 E THOMAS RD
PHOENIX AZ
85016-8034
US

V. Phone/Fax

Practice location:
  • Phone: 602-344-6550
  • Fax: 602-344-6551
Mailing address:
  • Phone: 602-470-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberRN126953
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: