Healthcare Provider Details

I. General information

NPI: 1215348867
Provider Name (Legal Business Name): MARIE ANN POND FNP-C, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2014
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2292 W MAGEE RD STE 200-7
TUCSON AZ
85742-4301
US

IV. Provider business mailing address

3820 E HAWSER ST UNIT 1
TUCSON AZ
85739-9443
US

V. Phone/Fax

Practice location:
  • Phone: 520-477-7704
  • Fax:
Mailing address:
  • Phone: 520-477-7704
  • Fax: 888-991-2287

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP7459
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP7459
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: