Doctor Name: | BRIAN COURTNEY |
NPI Number: | 1073918637 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP-C |
License Number: | AP7374 |
Business Practice Address: | 3328 N Litchfield Rd Goodyear, AZ - 853953198 |
Business Phone Number: | 6232390394 |
Business Fax Number: | 6235365813 |
Mailing Address: | 1250 S Clearview Ave, Suite 100 MESA |
State: | AZ |
Postal Code: | 852093378 |
Phone Number: | 4809889108 |
Fax Number: | 4808134460 |
NPI Enumeration Date: | 10/24/2014 |
NPI Last Update Date: | 11/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP7374 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |