Healthcare Provider Details

I. General information

NPI: 1306947676
Provider Name (Legal Business Name): PAT LINN SHRINER RN BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 E KNOX RD
TEMPE AZ
85284-3204
US

IV. Provider business mailing address

1071 N DANYELL DR
CHANDLER AZ
85225-1655
US

V. Phone/Fax

Practice location:
  • Phone: 480-752-8785
  • Fax: 480-820-3632
Mailing address:
  • Phone: 480-732-9595
  • Fax: 480-820-3632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number068499
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: