Individual
MARY L MURRIETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2802 E DISTRICT ST, TUCSON, AZ 85714-2081
(520) 301-2400
Mailing address
2802 E DISTRICT ST, TUCSON, AZ 85714-2081
(520) 301-2400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
123214
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP10554
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14113039
CAQH
AZ
Enumeration date
11/03/2006
Last updated
09/12/2025
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