Provider Demographics
NPI:1578959896
Name:BROWN, MELISSA LEE ANN (FNP)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:LEE ANN
Last Name:BROWN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1880 W FRYE RD STE 1
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-6234
Mailing Address - Country:US
Mailing Address - Phone:480-821-5500
Mailing Address - Fax:480-821-5502
Practice Address - Street 1:1880 W FRYE RD STE 1
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-6234
Practice Address - Country:US
Practice Address - Phone:480-821-5500
Practice Address - Fax:480-821-5502
Is Sole Proprietor?:No
Enumeration Date:2015-04-14
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP7733363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily