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NPI Code Detail

MEDICARE: MARK GREGORY SONENSCHEIN NURSE PRACTITIONER

MEDICARE:   MARK GREGORY SONENSCHEIN  NURSE PRACTITIONER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner221933AZ

General Provider Information

NPI Number : 1457816597
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK GREGORY SONENSCHEIN NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 1465 N SCOTTSDALE RD STE 400
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85257-3634
Country : US
Telephone Number : 844-646-3247
Fax Number :
Provider Business Practice Location Address
First Line : 1465 N SCOTTSDALE RD STE 400
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85257-3634
Country : US
Telephone Number : 844-646-3247
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2019
Last Update Date : 06/14/2023

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Directions to “ MARK GREGORY SONENSCHEIN NURSE PRACTITIONER” Practice Location

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