Individual
MARIAH DESTINY FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
1881 UNIVERSITY DR, VIRGINIA BEACH, VA 23453-8083
(757) 683-4297
(757) 683-5253
Mailing address
11932 FAIRWAY LAKES DR STE 1, FORT MYERS, FL 33913-8337
(276) 389-9692
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11042136
FL
Other
Enumeration date
02/12/2024
Last updated
10/23/2025
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