Individual provider · Type 1 NPI
Anna Marie Fuder-Boehm, APRN
Psychiatric/Mental Health Nurse Practitioner · Phoenix, AZ
NPI number
1619476389
Active
Practice location
40 E Mitchell Dr
Phoenix, AZ 85012-2330
Fax (602) 264-4095
Mailing address
2266 S Dobson Rd Ste 200
Mesa, AZ 85202-6412
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 112408 (NE) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2041 (NE) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 277703 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1619476389
Anna Marie Fuder-Boehm, APRN's National Provider Identifier is 1619476389, issued on Feb 7, 2018. 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 12, 2024.