Healthcare Provider Details

I. General information

NPI: 1104370949
Provider Name (Legal Business Name): ERICA BROWN NMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2016
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4450 S RURAL RD STE 200
TEMPE AZ
85282-7037
US

IV. Provider business mailing address

4450 S RURAL RD STE 200
TEMPE AZ
85282-7037
US

V. Phone/Fax

Practice location:
  • Phone: 609-694-3151
  • Fax:
Mailing address:
  • Phone: 480-590-5428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number25-4011
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: