Individual
MRS. MARY OHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP- BC
Contact information
Practice address
1001 WILLOW CREEK RD STE 2200, PRESCOTT, AZ 86301-1614
(928) 445-6025
(928) 778-3026
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
275091
AZ
Other
Enumeration date
06/03/2022
Last updated
02/17/2025
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