Individual
ROXANNE LANE-BRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, WHCNP
Contact information
Practice address
3815 S. VAL VISTA DRIVE, SUITE 101, GILBERT, AZ 85297-7309
(480) 782-0993
(855) 329-8939
Mailing address
3815 S. VAL VISTA DRIVE, SUITE 101, GILBERT, AZ 85297-7309
(480) 782-0993
(855) 329-8939
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP0343
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
356946
—
AZ
Enumeration date
03/20/2007
Last updated
03/07/2023
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