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NPI Code Detail

MEDICARE: STEPHANIE BROWN R.D.

MEDICARE: STEPHANIE BROWN R.D.
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
1133V00000XRegistered Dietitian933141NV

General Provider Information

NPI Number : 1679798722
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE BROWN R.D.
Provider Business Mailing Address
First Line : 18001 N 79TH AVE STE A12
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-8398
Country : US
Telephone Number : 623-399-6825
Fax Number : 623-505-3474
Provider Business Practice Location Address
First Line : 1180 N TOWN CENTER DR STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89144-6308
Country : US
Telephone Number : 623-399-6825
Fax Number : 623-505-3474
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2007
Last Update Date : 12/01/2025

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Directions to “ STEPHANIE BROWN R.D.” Practice Location

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