Provider Demographics
NPI:1164727418
Name:BROWN, BEATRICE L (RD, MAED)
Entity Type:Individual
Prefix:MRS
First Name:BEATRICE
Middle Name:L
Last Name:BROWN
Suffix:
Gender:F
Credentials:RD, MAED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8701 E ORANGE BLOSSOM LN
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85250-7431
Mailing Address - Country:US
Mailing Address - Phone:602-391-0162
Mailing Address - Fax:
Practice Address - Street 1:8701 E ORANGE BLOSSOM LN
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85250-7431
Practice Address - Country:US
Practice Address - Phone:602-391-0162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-18
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ953004133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered