Individual
MARILIZABETH BIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, RN, BA
Contact information
Practice address
3864 N 27TH AVE, PHOENIX, AZ 85017-4703
(602) 797-7000
Mailing address
16042 N 32ND ST STE A2, PHOENIX, AZ 85032-0024
(480) 300-4761
(780) 903-1607
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
236418
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
236418
AZ
Other
Enumeration date
09/24/2020
Last updated
05/02/2025
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