Individual
MRS. KIMBERLY ANNE MCCLINTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.-C
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(480) 865-4839
Mailing address
7814 E GRANADA RD, SCOTTSDALE, AZ 85257-2247
(480) 865-4839
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP2746
AZ
363LF0000X
Family Nurse Practitioner
AP2746
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275028
—
AZ
Enumeration date
09/12/2007
Last updated
06/29/2020
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