MEDICARE: MARLEE MICHELLE BROWN FNP-BC

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
1	363LF0000X	Family Nurse Practitioner	AP10175	AZ

General Provider Information

NPI Number	:	1558884718
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARLEE MICHELLE BROWN FNP-BC

Provider Business Mailing Address
First Line	:	9566 N 83RD DR
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85345-7136
Country	:	US
Telephone Number	:	602-714-3906
Fax Number	:

Provider Business Practice Location Address
First Line	:	9566 NORTH 83RD DRIVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85037-3374
Country	:	US
Telephone Number	:	602-714-3906
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2017
Last Update Date	:	04/17/2025

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