Healthcare Provider Details
I. General information
NPI: 1851448765
Provider Name (Legal Business Name): LYNNE ALEXIS FIORE MSN, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/04/2007
Last Update Date: 11/03/2023
Certification Date: 11/03/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10261 N 92ND ST
SCOTTSDALE AZ
85258-4502
US
IV. Provider business mailing address
9829 N 55TH WAY
SCOTTSDALE AZ
85253-1122
US
V. Phone/Fax
- Phone: 480-443-4437
- Fax: 480-895-9494
- Phone: 480-951-8757
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LW0102X |
| Taxonomy | Women's Health Nurse Practitioner |
| License Number | RN025967 |
| License Number State | AZ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: