Healthcare Provider Details

I. General information

NPI: 1225250160
Provider Name (Legal Business Name): MELISSA C BROWN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 02/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10290 N 92ND ST STE 300 MEDICAL PLAZA II
SCOTTSDALE AZ
85258-4500
US

IV. Provider business mailing address

10290 N. 92ND STREET, SUITE 300 MEDICAL PLAZA II
SCOTTSDALE AZ
85258
US

V. Phone/Fax

Practice location:
  • Phone: 480-718-9241
  • Fax: 480-718-9248
Mailing address:
  • Phone: 480-718-9241
  • Fax: 480-718-9248

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP1511
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberRN094515
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: