Individual
ELIZABETH MCKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4035 W ALAMEDA RD, GLENDALE, AZ 85310-3304
(623) 445-4700
Mailing address
20402 N 15TH AVE, PHOENIX, AZ 85027-3636
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
1166210
KY
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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