Individual provider · Type 1 NPI
Marilyn Ann Staires
Psychiatric/Mental Health Nurse Practitioner · Waddell, AZ
NPI number
1962724799
Active
Practice location
18614 W Onyx Ave
Waddell, AZ 85355-4448
Mailing address
5105 E Mark Ln
Cave Creek, AZ 85331-3392
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN106359 (AZ) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP3646 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1962724799
Marilyn Ann Staires's National Provider Identifier is 1962724799, issued on Feb 21, 2010. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Waddell, AZ. The record was last updated on Apr 19, 2022.