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Individual

MR. MARCUS NIELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
2355 E CAMELBACK RD STE 625, PHOENIX, AZ 85016-3458
(480) 581-8536
Mailing address
647 N ROBSON, MESA, AZ 85201-5040
(480) 710-3627

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN168434
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
301764
AZ

Other

Enumeration date
01/06/2023
Last updated
09/08/2024
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