Individual provider · Type 1 NPI
Martin Ngu Kwale Pong, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Phoenix, AZ
NPI number
1245935204
Active
Practice location
4338 W Thomas Rd
Phoenix, AZ 85031-3878
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 280285 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1245935204
Martin Ngu Kwale Pong, PMHNP-BC's National Provider Identifier is 1245935204, issued on Mar 31, 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 Apr 5, 2023.