Provider Demographics
NPI:1356731418
Name:BROWN, DELANA PROSPERIE (FNP-C)
Entity type:Individual
Prefix:MS
First Name:DELANA
Middle Name:PROSPERIE
Last Name:BROWN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3540 EAST BASELINE ROAD
Mailing Address - Street 2:SUITE 131
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85042-9627
Mailing Address - Country:US
Mailing Address - Phone:480-634-1232
Mailing Address - Fax:
Practice Address - Street 1:3540 E BASELINE RD
Practice Address - Street 2:SUITE 131
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85042-9627
Practice Address - Country:US
Practice Address - Phone:480-634-1232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-28
Last Update Date:2015-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP7598363LF0000X
AZRN132176363LF0000X
AZFNP # F0115590363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily