Healthcare Provider Details

I. General information

NPI: 1174469258
Provider Name (Legal Business Name): PATRICK MCLARNEY RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4031 W ROSE GARDEN LN
GLENDALE AZ
85308-4762
US

IV. Provider business mailing address

4031 W ROSE GARDEN LN
GLENDALE AZ
85308-4762
US

V. Phone/Fax

Practice location:
  • Phone: 623-297-8806
  • Fax:
Mailing address:
  • Phone: 623-297-8806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN190924
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: