Mcdermott, Linda Mae

Mcdermott, Linda Mae is an sole proprietor health care provider with primary practice located at 4525 N Central Ave , Phoenix AZ 85012-1816. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Mcdermott, Linda Mae can be contacted via phone (602) 764-7511.

Contact Information

Primary practice address
4525 N Central Ave Phoenix AZ 85012-1816
Fax: (602) 229-8378
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X RN 057451 Arizona

Profile Details

NPI number 1437284676
LBN Legal business name Mcdermott, Linda Mae
Credentials RN057451
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2007
Last updated Jul 9th, 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 1437284676 NPPES
Arizona MEDICAID 583171

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