Blaine, Linda Ann
Blaine, Linda Ann is an individual health care provider with primary practice located at 4212 N 16Th St , Phoenix AZ 85016-5319. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Blaine, Linda Ann can be contacted via phone (602) 263-1511.Contact Information
Primary practice address
4212 N 16Th St
Phoenix AZ 85016-5319
Phone: (602) 263-1511
Fax: (602) 263-1637
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | RN036172 | Arizona |
Profile Details
| NPI number | 1427160779 |
|---|---|
| LBN Legal business name | Blaine, Linda Ann |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427160779 | NPPES |
| Arizona | MEDICAID | 459380 |
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