Provider Demographics
NPI:1396968822
Name:BROST, LINDA GRIFFIN (RN OGNP)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:GRIFFIN
Last Name:BROST
Suffix:
Gender:F
Credentials:RN OGNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1501 N GILBERT RD
Mailing Address - Street 2:STE 200
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234
Mailing Address - Country:US
Mailing Address - Phone:480-633-6868
Mailing Address - Fax:480-633-6996
Practice Address - Street 1:1501 N GILBERT RD
Practice Address - Street 2:STE 200
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234
Practice Address - Country:US
Practice Address - Phone:480-633-6868
Practice Address - Fax:480-633-6996
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN021247207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology