Dr. Marshall E Umoren, PMHNP BC
Nurse Practitioner, Psych/Mental Health in Phoenix, AZ. Individual provider (NPI-1).
NPI number1982105334
StatusActive
Last updated in NPPESJun 16, 2023
Details
- NPI
- 1982105334
- Entity type
- Individual (NPI-1)
- Name
- Dr. Marshall E Umoren
- Credential
- PMHNP BC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 21, 2018
- Certification date
- Jun 16, 2023
- Last updated
- Jun 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | AP10997 | AZ | Yes |
Practice location
5501 N 19th AvePhoenix, AZ 85015-2450
Phone 602-492-9800
Mailing address
13206 W Crestvale DrPeoria, AZ 85383-5496
Phone 480-262-4797
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