Individual
MARY H TULINNYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP
Contact information
Practice address
1145 MARINA BLVD, BULLHEAD CITY, AZ 86442-5716
(928) 758-5905
Mailing address
3707 N STOCKTON HILL RD STE B, KINGMAN, AZ 86409-0507
(928) 757-8111
(928) 757-3256
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
155208-30
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5989-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073632
—
AZ
Enumeration date
09/10/2014
Last updated
09/12/2022
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