Basic Information
| Provider Information | |||||||||
| NPI: | 1598142598 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FINK | ||||||||
| FirstName: | BRIANNE | ||||||||
| MiddleName: | |||||||||
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| Credential: | AU.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7620 E MCKELLIPS RD STE 4-225 | ||||||||
| Address2: | |||||||||
| City: | SCOTTSDALE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852574600 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4806874164 | ||||||||
| FaxNumber: | 6028658090 | ||||||||
| Practice Location | |||||||||
| Address1: | 7620 E MCKELLIPS RD STE 4-225 | ||||||||
| Address2: | |||||||||
| City: | SCOTTSDALE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 85257 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4806874164 | ||||||||
| FaxNumber: | 6028658090 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/29/2015 | ||||||||
| LastUpdateDate: | 01/30/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237600000X | DA9236 | AZ | N | Speech, Language and Hearing Service Providers | Audiologist-Hearing Aid Fitter | 237600000X | A-2295 | NV | Y | Speech, Language and Hearing Service Providers | Audiologist-Hearing Aid Fitter |
ID Information
| ID | Type | State | Issuer | Description | 297339 | 05 | AZ | MEDICAID |