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NPI Code Detail

MEDICARE: MRS. BRYNEA DAMAN CNM

MEDICARE: MRS. BRYNEA DAMAN CNM
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
1367A00000XAdvanced Practice MidwifeAP7332AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1TAP7332OTHERAZAZ CNM LICENSE

General Provider Information

NPI Number : 1972905719
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRYNEA DAMAN CNM
Provider Business Mailing Address
First Line : PO BOX 6730
Second Line :
City : CHANDLER
State : AZ
Zip : 85246-6730
Country : US
Telephone Number : 480-821-3600
Fax Number : 480-821-3610
Provider Business Practice Location Address
First Line : 37100 N GANTZEL RD STE 106
Second Line :
City : SAN TAN VALLEY
State : AZ
Zip : 85140-7350
Country : US
Telephone Number : 480-821-3600
Fax Number : 480-821-3610
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2014
Last Update Date : 05/30/2024

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Directions to “ MRS. BRYNEA DAMAN CNM” Practice Location

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