Clancy, Marilynne

Clancy, Marilynne is an individual health care provider with primary practice located at 1235 E Harmont Dr , Phoenix AZ 85020-3864. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Clancy, Marilynne can be contacted via phone (602) 331-1470.

Contact Information

Primary practice address
1235 E Harmont Dr Phoenix AZ 85020-3864
Phone: (602) 331-1470
Fax: (602) 678-5803
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 16022426 Arizona

Profile Details

NPI number 1306046982
LBN Legal business name Clancy, Marilynne
Credentials RN, MS, PNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2007
Last updated Jul 20th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306046982 NPPES
Arizona Other 851924 AHCCCS

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