WILLIAM RUSSELL MCNAIR FNP NPI 1780913236

NPI Information

  • NPI: 1780913236
  • Provider Name: WILLIAM RUSSELL MCNAIR, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1896 E. BABBIT LN
    SAN LUIS, AZ
    ZIP 85349
  • Phone: (928) 627-9222

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NPI Details

William Russell Mcnair, FNP is a family nurse practitioner in San Luis, AZ with 24 years of experience. William Russell Mcnair, FNP NPI is 1780913236. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1896 E. BABBIT LN
SAN LUIS, AZ
ZIP 85349
Phone: (928) 627-9222
Fax: (928) 627-8315

The NPI 1780913236 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/11/2009 and was last updated on 8/13/2024.

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
1363LF0000XNurse PractitionerFamilyRN160158ARIZONAYes

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
1503006MEDICAIDARIZONA
2Z137149OTHERARIZONAMEDICARE

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: 11/21/2025

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