Brandie Jo Rahbari, RN, BSN

Individual provider Active NPI Critical Care Medicine Registered Nurse · Sun Lakes, AZ

NPI 1407743552 · NPPES record last updated Jun 20, 2025

Key facts

NPI
1407743552
Entity type
Individual (NPI type 1)
Primary specialty
Critical Care Medicine Registered Nurse 163WC0200X
License
RN148039 (AZ)
Practice address
9046 E Fairway Blvd
Sun Lakes, AZ 85248-6425
Phone
(480) 335-1064
NPI assigned
Jun 20, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN148039AZMDCritical Care Medicine Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X RN148039 AZ
Critical Care Medicine Registered Nurse 163WC0200X RN148039 AZ Yes

Addresses

Primary practice location

9046 E Fairway Blvd
Sun Lakes, AZ 85248-6425

Mailing address

9046 E Fairway Blvd
Sun Lakes, AZ 85248-6425
Phone (480) 335-1064

Other providers in Sun Lakes, AZ

All providers in Sun Lakes, AZ · Critical Care Medicine Registered Nurse in Arizona

Sources for this page

Verify at the official NPI Registry.