MEDICARE: ROBIN MCLINN ACNPC-AG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WX0200X	Oncology Registered Nurse	RN188738	AZ
2	363LA2100X	Acute Care Nurse Practitioner	257221	AZ

General Provider Information

NPI Number	:	1033725817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBIN MCLINN ACNPC-AG

Provider Business Mailing Address
First Line	:	5750 W THUNDERBIRD RD STE 300
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85306-5615
Country	:	US
Telephone Number	:	801-318-6829
Fax Number	:

Provider Business Practice Location Address
First Line	:	5750 W THUNDERBIRD RD STE 300
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85306-5615
Country	:	US
Telephone Number	:	623-238-7352
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/17/2020
Last Update Date	:	04/30/2021

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Directions to “ ROBIN MCLINN ACNPC-AG” Practice Location

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