Provider Demographics
NPI:1598142598
Name:FINK, BRIANNE (AUD)
Entity Type:Individual
Prefix:
First Name:BRIANNE
Middle Name:
Last Name:FINK
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7620 E MCKELLIPS RD STE 4-225
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85257-4600
Mailing Address - Country:US
Mailing Address - Phone:480-687-4164
Mailing Address - Fax:602-865-8090
Practice Address - Street 1:7620 E MCKELLIPS RD STE 4-225
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85257
Practice Address - Country:US
Practice Address - Phone:480-687-4164
Practice Address - Fax:602-865-8090
Is Sole Proprietor?:No
Enumeration Date:2015-04-29
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDA9236237600000X
NVA-2295237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ297339Medicaid