Individual
NANCY E. MCNEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2525 E ROOSEVELT ST, PHOENIX, AZ 85008-4948
(602) 344-1104
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN048909
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP0219
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
760232
—
AZ
Enumeration date
05/26/2006
Last updated
03/19/2015
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