Individual provider · NPI-1

Kathryn L Brushaber, PNP

Nurse Practitioner, Pediatrics · Mesa, AZ

NPI number1346424405
StatusActive
Last updated in NPPESDec 26, 2007

Details

NPI
1346424405
Entity type
Individual (NPI-1)
Name
Kathryn L Brushaber
Credential
PNP
Sex
Female
Sole proprietor
No
Enumeration date
Dec 26, 2007
Last updated
Dec 26, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, PediatricsRN141222AZYes

Practice location

6142 E Brown Rd
#102
Mesa, AZ 85205-4962

Phone 480-396-2087 · Fax 480-396-3973

Mailing address

6142 E Brown Rd
#102
Mesa, AZ 85205-4962

Phone 480-396-2087 · Fax 480-396-3973

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