Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | RN032027 | AZ |
NPI | 1023111671 |
---|---|
Provider Name | Mrs. Linda M. Gilbert |
First Address | Scottsdale, AZ 85254-4048 |
Second Address | Phoenix, AZ 85012-1839 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2006 |
Last Update Date | 30/04/2021 |