Provider Demographics
NPI:1659350346
Name:BRILLHART, BARBARA ANN (RN PHD FNP-C)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANN
Last Name:BRILLHART
Suffix:
Gender:F
Credentials:RN PHD FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:536 S NORFOLK CIR
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-1959
Mailing Address - Country:US
Mailing Address - Phone:480-965-6892
Mailing Address - Fax:480-965-0212
Practice Address - Street 1:8117 EAST ROOSEVELT
Practice Address - Street 2:ST COMMUNITY HEALTH SERVICES
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85257
Practice Address - Country:US
Practice Address - Phone:480-941-9283
Practice Address - Fax:480-941-9286
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZRN095073363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ39778Medicare ID - Type Unspecified