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NPI Code Detail

MEDICARE: COURTNEY BRZYCKI

MEDICARE: COURTNEY BRZYCKI
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
1363LF0000XFamily Nurse PractitionerF06230521AZ
2363LF0000XFamily Nurse Practitioner228427AZ

General Provider Information

NPI Number : 1417631573
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY BRZYCKI
Provider Business Mailing Address
First Line : 9553 E GARY ST
Second Line :
City : MESA
State : AZ
Zip : 85207-2611
Country : US
Telephone Number : 480-457-0457
Fax Number :
Provider Business Practice Location Address
First Line : 1955 W FRYE RD
Second Line :
City : CHANDLER
State : AZ
Zip : 85224-6282
Country : US
Telephone Number : 480-728-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2023
Last Update Date : 12/18/2025

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Directions to “ COURTNEY BRZYCKI ” Practice Location

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