Individual
MRS. GRACE E MCGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
7350 N 22ND ST, PHOENIX, AZ 85020-4753
(602) 674-5797
Mailing address
7350 N 22ND ST, PHOENIX, AZ 85020-4753
(602) 674-5797
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP4212
AZ
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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