SearchArizona171W00000X

Tawana Brown

NPI 1053985432 · on the registry since 2021 · sole proprietor

Practice

Address
15632 N 156th Ln
Surprise, AZ 85374
Phone
(602) 601-8327
Organisation at this address
Faith N Grace Transport Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
171W00000X
171W00000X
Also registered as
342000000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-05-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona