Individual
MARISSA DUGAN-BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NP-C
Contact information
Practice address
635 E BASELINE RD, PHOENIX, AZ 85042-6551
(602) 243-7277
Mailing address
2702 N 3RD ST #4020, PH, AZ 85004-4608
(602) 243-7277
(602) 323-3496
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP9932
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257522
—
AZ
Enumeration date
04/03/2017
Last updated
06/07/2017
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