Healthcare Provider Details

I. General information

NPI: 1841804481
Provider Name (Legal Business Name): ENVISION SOLUTIONS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2020
Last Update Date: 09/01/2020
Certification Date: 09/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 E VAN BUREN ST
PHOENIX AZ
85006-3742
US

IV. Provider business mailing address

3104 E CAMELBACK RD STE 2679
PHOENIX AZ
85016-4502
US

V. Phone/Fax

Practice location:
  • Phone: 602-251-8100
  • Fax:
Mailing address:
  • Phone: 203-843-5514
  • Fax: 602-955-8725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: BARBARA BROWDER
Title or Position: MANAGER
Credential: NP
Phone: 203-843-5514