Individual provider · Type 1 NPI
Mark J. Poulin, NP
Psychiatric/Mental Health Nurse Practitioner · Phoenix, AZ
NPI number
1801824875
Active
Practice location
4909 E Mcdowell Rd
Phoenix, AZ 85008-7735
Fax (602) 275-1355
Mailing address
3003 N Central Ave, Suite 200
Phoenix, AZ 85012-2902
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN108520 (AZ) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP1737 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1801824875
Mark J. Poulin, NP's National Provider Identifier is 1801824875, issued on Jun 29, 2006. 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 Dec 6, 2016.