Individual
DR. MARILYN LEE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP FNP-BC PMHNP-BC
Contact information
Practice address
1855 W BASELINE RD, MESA, AZ 85202-9000
(480) 831-7566
Mailing address
1855 W BASELINE RD, MESA, AZ 85202-9000
(480) 831-7566
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN156754
AZ
363LF0000X
Family Nurse Practitioner
Primary
RNP2623646
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RNP2623646
AZ
Other
Enumeration date
02/23/2021
Last updated
05/09/2025
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