Lane-Brink, Roxanne

Lane-Brink, Roxanne is an individual health care provider with primary practice located at 3815 S. Val Vista Drive Suite 101, Gilbert AZ 85297-7309. 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. Lane-Brink, Roxanne can be contacted via phone (480) 782-0993.

Contact Information

Primary practice address
3815 S. Val Vista Drive Suite 101 Gilbert AZ 85297-7309
Phone: (480) 782-0993
Fax: (855) 329-8939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X AP0343 Arizona

Profile Details

NPI number 1407971153
LBN Legal business name Lane-Brink, Roxanne
Credentials RNC, WHCNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Mar 7th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407971153 NPPES
Arizona MEDICAID 356946

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