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NPI Code Detail

MEDICARE: NICHOLE THERESA BROWN DNP, PMHNP-C, FNP-C

MEDICARE: NICHOLE THERESA BROWN DNP, PMHNP-C, FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAP3477AZ
2363LF0000XFamily Nurse PractitionerAP3477AZ

General Provider Information

NPI Number : 1225364227
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLE THERESA BROWN DNP, PMHNP-C, FNP-C
Provider Business Mailing Address
First Line : 16220 N SCOTTSDALE RD STE 300
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85254-1798
Country : US
Telephone Number : 602-551-8251
Fax Number : 602-551-8275
Provider Business Practice Location Address
First Line : 16220 N SCOTTSDALE RD STE 300
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85254-1798
Country : US
Telephone Number : 602-551-8251
Fax Number : 602-551-8275
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2009
Last Update Date : 06/09/2026

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