Individual provider · Type 1 NPI

Mary Ohm, ACNP- BC

Adult Health Nurse Practitioner · Prescott, AZ

NPI number 1972242113 Active

Practice location

1001 Willow Creek Rd Ste 2200
Prescott, AZ 86301-1614

Fax (928) 778-3026

Mailing address

PO Box 10880
Prescott, AZ 86304-0880

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X275091 (AZ)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1972242113

Mary Ohm, ACNP- BC's National Provider Identifier is 1972242113, issued on Jun 3, 2022. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Prescott, AZ. The record was last updated on Feb 17, 2025.