MEDICARE: MR. WILLIAM H. MCGINNIS FNP

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	363LF0000X	Family	AP0366	AZ

General Provider Information

NPI Number	:	1275591612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WILLIAM H. MCGINNIS FNP

Provider Business Mailing Address
First Line	:	15812 W BONITOS DR
Second Line	:
City	:	GOODYEAR
State	:	AZ
Zip	:	85395-7570
Country	:	US
Telephone Number	:	623-594-6051
Fax Number	:

Provider Business Practice Location Address
First Line	:	15812 W BONITOS DR
Second Line	:
City	:	GOODYEAR
State	:	AZ
Zip	:	85395-7570
Country	:	US
Telephone Number	:	623-594-6051
Fax Number	:

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

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	06/14/2017

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