Individual provider · Type 1 NPI
Marcus Ernest Konyi Kometa
Psychiatric/Mental Health Nurse Practitioner · Phoenix, AZ
NPI number
1003522954
Active
Practice location
2500 E Van Buren St
Phoenix, AZ 85008-6037
Mailing address
6811 W Pleasant Ln
Laveen, AZ 85339-2660
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 286453 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1003522954
Marcus Ernest Konyi Kometa's National Provider Identifier is 1003522954, issued on Jan 24, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Phoenix, AZ. The record was last updated on Jan 24, 2023.