Individual
MRS. LINDA MAE MCDERMOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN057451
Contact information
Practice address
4525 N CENTRAL AVE, PHOENIX, AZ 85012-1816
(602) 764-7511
(602) 229-8378
Mailing address
2848 E CHOLLA ST, PHOENIX, AZ 85028-1935
(602) 867-3988
(602) 229-8378
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN 057451
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
583171
—
AZ
Enumeration date
02/21/2007
Last updated
07/09/2007
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