person
Maryanne C Clark, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Phoenix, Arizona
NPI 1982685954

Maryanne C Clark is a Psychiatric/Mental Health Nurse Practitioner based in Phoenix, AZ and is specialized in Psychiatric/Mental Health. Maryanne C Clark practices in Phoenix, AZ and has the professional credentials of PMHNP. The NPI Number for Maryanne C Clark is 1982685954 and holds a License No. AP11153 (Arizona).

The current practice location address for Maryanne C Clark is 2715 N 3Rd St, Phoenix, AZ and can be reached out via phone at 602-264-4331.

Location: 2715 N 3Rd St, Phoenix, AZ, 85012-2647
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Provider Profile Details
NPI Number
1982685954
Provider Name
Maryanne C Clark
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
2715 N 3Rd St, Phoenix, AZ, 85012-2647
Phone Number
602-264-4331
Fax Number
Provider Enumeration Date
11/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
376867 05 AZ
institution
Provider Business Practice Location Address Details
Address
2715 N 3Rd St
City
State
Zip
85004-1106
Phone Number
602-264-4331
Fax Number
person
Provider Business Mailing Address Details
Address
2715 N 3Rd St
City
State
Zip
85004-1106
Phone Number
602-264-4331
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP11154 (Arizona)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
AP11153 (Arizona)
Definition
Definition to come...
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