Doctor Name: | MRS. BRENDA A. AUSTIN |
NPI Number: | 1013959964 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | AP1721 |
Business Practice Address: | 3212 N. Windsong Drive Suite 200 Prescott, AZ - 863053700 |
Business Phone Number: | 9285831000 |
Business Fax Number: | 8667514157 |
Mailing Address: | 1090 Commerce Dr, PRESCOTT |
State: | AZ |
Postal Code: | 863053700 |
Phone Number: | 9284425495 |
Fax Number: | 8668121253 |
NPI Enumeration Date: | 06/12/2006 |
NPI Last Update Date: | 04/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | AP1721 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |