Dicken, Maryjane

Dicken, Maryjane is an individual health care provider with primary practice located at 625 W Hillside Ave , Prescott AZ 86301-1936. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Dicken, Maryjane can be contacted via phone (928) 445-5211.

Contact Information

Primary practice address
625 W Hillside Ave Prescott AZ 86301-1936
Phone: (928) 445-5211
Fax: (928) 776-8484
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN104385 Arizona

Profile Details

NPI number 1659354264
LBN Legal business name Dicken, Maryjane
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Jul 8th, 2007 - about 17 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.

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