Individual provider · Type 1 NPI

Maryjane Dicken, RN

Psychiatric/Mental Health Registered Nurse · Prescott, AZ

NPI number 1659354264 Active

Practice location

625 W Hillside Ave
Prescott, AZ 86301-1936

Fax (928) 776-8484

Mailing address

642 Dameron Dr
Prescott, AZ 86301-2411

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808XRN104385 (AZ)

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

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About NPI 1659354264

Maryjane Dicken, RN's National Provider Identifier is 1659354264, issued on Nov 29, 2005. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Prescott, AZ. The record was last updated on Jul 13, 2026.