Healthcare Provider Details

I. General information

NPI: 1528978301
Provider Name (Legal Business Name): JOSEPH MCLAUCHLIN FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2841 W PICO DEL MONTE CIR
FLAGSTAFF AZ
86001-9203
US

IV. Provider business mailing address

2841 W PICO DEL MONTE CIR
FLAGSTAFF AZ
86001-9203
US

V. Phone/Fax

Practice location:
  • Phone: 562-787-6551
  • Fax:
Mailing address:
  • Phone: 562-787-6551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number344951
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: