Provider Demographics
NPI:1336270834
Name:MICHIE, BRITT D (NP)
Entity Type:Individual
Prefix:MRS
First Name:BRITT
Middle Name:D
Last Name:MICHIE
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:530 E THOMAS RD STE 140
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-3204
Mailing Address - Country:US
Mailing Address - Phone:602-442-9000
Mailing Address - Fax:602-556-5951
Practice Address - Street 1:10240 W INDIAN SCHOOL RD
Practice Address - Street 2:BLD 2 STE 140
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85037
Practice Address - Country:US
Practice Address - Phone:623-846-7558
Practice Address - Fax:623-846-1674
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2021-09-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZRN121124207VX0000X
AZ260860367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZRN121124OtherAZ STATE BOARD OF NURSING