Provider Demographics
NPI:1225250160
Name:BROWN, MELISSA C (NP)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:C
Last Name:BROWN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10290 N. 92ND STREET, SUITE 300
Mailing Address - Street 2:MEDICAL PLAZA II
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258
Mailing Address - Country:US
Mailing Address - Phone:480-718-9241
Mailing Address - Fax:480-718-9248
Practice Address - Street 1:10290 N 92ND ST STE 300
Practice Address - Street 2:MEDICAL PLAZA II
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4500
Practice Address - Country:US
Practice Address - Phone:480-718-9241
Practice Address - Fax:480-718-9248
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZAP1511363LF0000X
AZRN094515363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZRN094515OtherLICENSE