Individual provider · Type 1 NPI

Marlene Elizabeth Wilson, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Phoenix, AZ

NPI number 1205175304 Active

Practice location

11022 S 51st St Ste 250
Phoenix, AZ 85044-4308

Fax (602) 429-8445

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X236775 (AZ)
Registered Nurse 163W00000XRN174104 (AZ)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1205175304

Marlene Elizabeth Wilson, PMHNP-BC's National Provider Identifier is 1205175304, issued on Feb 8, 2013. 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 Jun 15, 2026.