Provider Demographics
NPI:1558648360
Name:BROWN, AIYANA LYNN (ND)
Entity Type:Individual
Prefix:
First Name:AIYANA
Middle Name:LYNN
Last Name:BROWN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 E UNIVERSITY DR UNIT 260
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85213-8348
Mailing Address - Country:US
Mailing Address - Phone:773-391-7141
Mailing Address - Fax:
Practice Address - Street 1:2301 E UNIVERSITY DR UNIT 260
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85213-8348
Practice Address - Country:US
Practice Address - Phone:773-391-7141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ11-1255175F00000X
HI220175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath