Individual
DR. MARSHALL E UMOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP BC
Contact information
Practice address
5501 N 19TH AVE, PHOENIX, AZ 85015-2450
(602) 492-9800
Mailing address
13206 W CRESTVALE DR, PEORIA, AZ 85383-5496
(480) 262-4797
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP10997
AZ
Other
Enumeration date
02/21/2018
Last updated
06/16/2023
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