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Individual

LINDA DIANE NIXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
4212 N. 16TH ST, PHOENIX, AZ 85016
(602) 263-1511
(602) 263-1619
Mailing address
PO BOX 31001-0698, PASADENA, CA 91110-0698
(602) 263-1511
(602) 263-1619

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN35009
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
451683
AZ
01
AZ0145450
BCBS
AZ
Enumeration date
10/04/2006
Last updated
07/09/2007
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