Chondra Marie Brown, TRANSPORTATION
Individual provider Active NPI Contractor · Phoenix, AZ
NPI 1790596773 · NPPES record last updated Jan 17, 2025
Key facts
- NPI
- 1790596773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- D11270161 (AZ)
- Practice address
- 4225 E McDowell Rd Apt 1097
Phoenix, AZ 85008-4456 - Phone
- (832) 540-4313
- NPI assigned
- Jan 17, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D11270161 | AZ | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | D11270161 | AZ | |
| Contractor | 171W00000X | D11270161 | AZ | Yes |
Addresses
Primary practice location
4225 E McDowell Rd Apt 1097
Phoenix, AZ 85008-4456
Mailing address
4225 E McDowell Rd Apt 1097
Phoenix, AZ 85008-4456
Phone (832) 540-4313
Other names
- Chondra Marie Rhodes
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.