Healthcare Provider Details

I. General information

NPI: 1740702901
Provider Name (Legal Business Name): BARBARA BROWDER PMHNP-MSN-RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2017
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6610 N 47TH AVE STE 5-8
GLENDALE AZ
85301-4163
US

IV. Provider business mailing address

17505 N 79TH AVE
GLENDALE AZ
85308-8725
US

V. Phone/Fax

Practice location:
  • Phone: 480-649-3352
  • Fax: 480-344-7091
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP10257
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: