IndividualActive
Brianna Marks, CPNP-PC
NPI 1053046789 · Pediatric Nurse Practitioner · Phoenix, AZ
Provider details
- NPI number
- 1053046789
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP-PC
- Sex
- Female
- Sole proprietor
- No
- License
- 277958 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4137 N 108th Ave
Phoenix, AZ 85037-5459
Phone: (623) 877-7337
Approximate (ZIP-level) locationGet directions
Mailing address
4137 N 108th Ave
Phoenix, AZ 85037-5459
Registry dates
- Enumerated
- 2022-07-18
- Last updated
- 2022-08-03
- Certified
- 2022-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.