Healthcare Provider Details

I. General information

NPI: 1033725817
Provider Name (Legal Business Name): ROBIN MCLINN ACNPC-AG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2020
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5750 W THUNDERBIRD RD STE 300
GLENDALE AZ
85306-4660
US

IV. Provider business mailing address

2865 DAGGETT AVE FL 4
KLAMATH FALLS OR
97601-1106
US

V. Phone/Fax

Practice location:
  • Phone: 623-238-7352
  • Fax:
Mailing address:
  • Phone: 541-274-6311
  • Fax: 541-274-6247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number10062042
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License NumberRN188738
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number257221
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: