Individual
LYNN M CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5750 W THUNDERBIRD RD, SUITE G 700, GLENDALE, AZ 85306-4660
(602) 843-5455
(602) 843-8426
Mailing address
2149 E WARNER RD, SUITE 101, TEMPE, AZ 85284-3494
(480) 610-6100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN057432
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
577281
—
AZ
Enumeration date
09/09/2005
Last updated
06/19/2012
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