ROXANNE LANE-BRINK RNC WHCNP NPI 1407971153

NPI Information

NPI: 1407971153
Provider Name: ROXANNE LANE-BRINK, RNC, WHCNP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Address:
3815 S. VAL VISTA DRIVE
SUITE 101
GILBERT, AZ
ZIP 85297
Phone: (480) 782-0993
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Roxanne Lane-brink, RNC, WHCNP is a women's health nurse practitioner in Gilbert, AZ. Roxanne Lane-brink, RNC, WHCNP NPI is 1407971153. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3815 S. VAL VISTA DRIVE
SUITE 101
GILBERT, AZ
ZIP 85297-309
Phone: (480) 782-0993
Fax: (855) 329-8939

The enumeration date for this NPI number is 3/20/2007 and was last updated on 11/5/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	AP0343	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ML0717679	OTHER	ARIZONA	DEA
2	356946	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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