Provider Demographics
NPI:1609560010
Name:ANDERSON-BROWN, LUCINDY
Entity Type:Individual
Prefix:
First Name:LUCINDY
Middle Name:
Last Name:ANDERSON-BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9015 W UNION HILLS DR STE 107
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382-3106
Mailing Address - Country:US
Mailing Address - Phone:623-313-2910
Mailing Address - Fax:
Practice Address - Street 1:9015 W UNION HILLS DR STE 107
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85382-3106
Practice Address - Country:US
Practice Address - Phone:623-313-2910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRNP291825363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner