Healthcare Provider Details

I. General information

NPI: 1790702447
Provider Name (Legal Business Name): BAIN L MCKINNEY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2767 OLIVE HWY
OROVILLE CA
95966-6103
US

IV. Provider business mailing address

2767 OLIVE HWY
OROVILLE CA
95966-6103
US

V. Phone/Fax

Practice location:
  • Phone: 530-533-8500
  • Fax: 530-532-8058
Mailing address:
  • Phone: 530-533-8500
  • Fax: 530-532-8058

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3269532
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP61025125
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number14672
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: