MARLENE ELIZABETH WILSON PMHNP-BC NPI 1205175304

NPI Information

  • NPI: 1205175304
  • Provider Name: MARLENE ELIZABETH WILSON, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11022 S 51ST ST STE 250
    PHOENIX, AZ
    ZIP 85044
  • Phone: (480) 939-6137

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NPI Details

Marlene Elizabeth Wilson, PMHNP-BC is a psychiatric/mental health nurse practitioner in Phoenix, AZ with 6 years of experience. Marlene Elizabeth Wilson, PMHNP-BC NPI is 1205175304. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11022 S 51ST ST STE 250
PHOENIX, AZ
ZIP 85044-308
Phone: (480) 939-6137
Fax: (602) 429-8445

The NPI 1205175304 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/8/2013 and was last updated on 6/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseRN174104ARIZONANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health236775ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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