Provider Demographics
NPI:1659814523
Name:BROWN, BETH (FNP)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:
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 1:11015 N ORACLE RD STE 121
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85737-5603
Mailing Address - Country:US
Mailing Address - Phone:520-314-5334
Mailing Address - Fax:520-470-1414
Practice Address - Street 1:11015 N ORACLE RD STE 121
Practice Address - Street 2:
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85737-5603
Practice Address - Country:US
Practice Address - Phone:520-314-5334
Practice Address - Fax:520-470-1414
Is Sole Proprietor?:No
Enumeration Date:2016-11-28
Last Update Date:2023-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP9671363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily