Provider Demographics
NPI:1033725817
Name:MCLINN, ROBIN (ACNPC-AG)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:MCLINN
Suffix:
Gender:F
Credentials:ACNPC-AG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5750 W THUNDERBIRD RD STE 300
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85306-5615
Mailing Address - Country:US
Mailing Address - Phone:801-318-6829
Mailing Address - Fax:
Practice Address - Street 1:5750 W THUNDERBIRD RD STE 300
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306-5615
Practice Address - Country:US
Practice Address - Phone:623-238-7352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-17
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN188738163WX0200X
AZ257221363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163WX0200XNursing Service ProvidersRegistered NurseOncology