Provider Demographics
NPI:1265940027
Name:BRASHER, PATRICIA LYNNE
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:LYNNE
Last Name:BRASHER
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 1:452 W VUELTA FRISO
Mailing Address - Street 2:
Mailing Address - City:SAHUARITA
Mailing Address - State:AZ
Mailing Address - Zip Code:85629-8668
Mailing Address - Country:US
Mailing Address - Phone:520-668-8412
Mailing Address - Fax:
Practice Address - Street 1:452 W VUELTA FRISO
Practice Address - Street 2:
Practice Address - City:SAHUARITA
Practice Address - State:AZ
Practice Address - Zip Code:85629-8668
Practice Address - Country:US
Practice Address - Phone:520-668-8412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-15
Last Update Date:2018-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ012372227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified