Individual
MARILYN P KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2500 E HUNT DR STE H-J, SHOW LOW, AZ 85901-7954
(928) 537-6937
(928) 537-8798
Mailing address
2500 E HUNT DR STE H-J, SHOW LOW, AZ 85901-7954
(928) 537-6937
(757) 213-5701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024164755
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39703
OPTIMA
VA
Enumeration date
06/24/2005
Last updated
12/30/2021
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