Brown, Shannon Marie

Brown, Shannon Marie is an sole proprietor health care provider with primary practice located at 250 E Dunlap Ave , Phoenix AZ 85020-2825. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Brown, Shannon Marie can be contacted via phone (602) 445-0751.

Contact Information

Primary practice address
250 E Dunlap Ave Phoenix AZ 85020-2825
Phone: (602) 445-0751
Fax: (602) 424-8128
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP4920 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP4920 Arizona

Profile Details

NPI number 1053652289
LBN Legal business name Brown, Shannon Marie
Credentials DNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2013
Last updated Sep 23rd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053652289 NPPES
Arizona MEDICAID 822748
Arizona Other AP4920

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