Clark, Maryanne C
Clark, Maryanne C is an individual health care provider with primary practice located at 2715 N 3Rd St , Phoenix AZ 85004-1106. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Clark, Maryanne C can be contacted via phone (602) 264-4331.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP11153 | Arizona |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP11154 | Arizona |
Profile Details
NPI number | 1982685954 |
---|---|
LBN Legal business name | Clark, Maryanne C |
Credentials | PMHNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 8th, 2005 |
Last updated | Feb 19th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1982685954 | NPPES |
Arizona | MEDICAID | 376867 |
Popular Providers
-
Winfrey, Kathleen Ann
1919 E Thomas Rd , Phoenix AZ 85016-7710 -
Horning, Russell
16620 N 40Th St Ste H4 , Phoenix AZ 85032 -
Guthery, Ann Marie
10000 N 31St Ave A-105, Phoenix AZ 85051-9582 -
Sharpe, Charles Rodney
2527 E Parkside Ln , Phoenix AZ 85024-7575 -
Holmes, Elizabeth Sailor
3620 N 3Rd St , Phoenix AZ 85012-2020 -
Callahan, Janet
11024 N 28Th Dr 290, Phoenix AZ 85029-4377 -
Elliott, Elizabeth
1555 E Ocotillo Rd Unit 10 , Phoenix AZ 85014-0004 -
Pannella, Lea
4909 E Mcdowell Rd , Phoenix AZ 85008