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Individual
WILLIAM RUSSELL MCNAIR
Active
Individual
WILLIAM RUSSELL MCNAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN160158
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
503006
—
AZ
01
—
Z137149
MEDICARE
AZ
Enumeration date
12/11/2009
Last updated
08/13/2024
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