Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 257221 | AZ |
NPI | 1033725817 |
---|---|
Provider Name | Robin Mclinn |
First Address | Glendale, AZ 85306-5615 |
Second Address | Glendale, AZ 85306-5615 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2020 |
Last Update Date | 30/04/2021 |