Individual
LINCY MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 N 18TH ST STE 605, PHOENIX, AZ 85006-4101
(602) 251-8741
Mailing address
4226 N 22ND ST UNIT 25, PHOENIX, AZ 85016-6157
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP8438
AZ
Other
Enumeration date
02/02/2016
Last updated
06/14/2017
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