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NPI Code Detail

MEDICARE: KATHRYN LYNN MCNEIL APRN

MEDICARE: KATHRYN LYNN MCNEIL APRN
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
1363LF0000XFamily Nurse Practitioner19610CA
2363LF0000XFamily Nurse PractitionerAP1080AZ
3363LF0000XFamily Nurse PractitionerAPN000885NV
4363LP0808XPsychiatric/Mental Health Nurse PractitionerAP61406667WA
5363LP0808XPsychiatric/Mental Health Nurse PractitionerAP4639AZ

General Provider Information

NPI Number : 1902859903
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN LYNN MCNEIL APRN
Provider Business Mailing Address
First Line : 5210 E PIMA ST STE 200
Second Line :
City : TUCSON
State : AZ
Zip : 85712-3678
Country : US
Telephone Number : 520-975-1557
Fax Number : 520-838-0789
Provider Business Practice Location Address
First Line : 101 ELLIOTT AVE W STE 500
Second Line :
City : SEATTLE
State : WA
Zip : 98119-4292
Country : US
Telephone Number : 425-615-6266
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 05/17/2024

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