Individual provider · Type 1 NPI
Makayla Rue Mariner
Women's Health Nurse Practitioner · Phoenix, AZ
NPI number
1295625374
Active
Practice location
3121 E Lincoln Dr
Phoenix, AZ 85016-2317
Mailing address
835 W Rio Salado Pkwy Unit 3053
Tempe, AZ 85281-3880
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 294114 (AZ) |
| Women's Health Nurse Practitioner Primary | 363LW0102X | 294114 (AZ) |
Women's Health Nurse Practitioner: Definition to come...
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About NPI 1295625374
Makayla Rue Mariner's National Provider Identifier is 1295625374, issued on Jul 8, 2025. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 3, 2026.