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Individual

MARY MCMILLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
11000 N SCOTTSDALE RD STE 160, SCOTTSDALE, AZ 85254-5269
(623) 401-7546
Mailing address
7432 N VIA CAMELLO DEL NORTE UNIT 176, SCOTTSDALE, AZ 85258-3645
(602) 999-5847

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN109461
AZ
363LF0000X
Family Nurse Practitioner
Primary
271697
AZ
363LF0000X
Family Nurse Practitioner
53-80957-071
KS

Other

Enumeration date
02/09/2022
Last updated
11/27/2024
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