Mark Skousen
Nurse Practitioner - Psychiatric/Mental Health
1745 W Western Dove Dr
Snowflake
, Arizona 85937-6185
Mark Skousen
Nurse Practitioner - Psychiatric/Mental Health
1745 W Western Dove Dr
Snowflake
, Arizona 85937-6185
(480) 586-0035
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Mark Skousen
- 1745 W Western Dove Dr
- Snowflake, AZ
- Zip : 85937-6185
- Phone : (480) 586-0035
Second Address
- Mark Skousen
- 1745 W Western Dove Dr
- Snowflake, AZ
- Zip : 85937-6185
- Phone : (480) 586-0035
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 246528 | AZ |
National Provider Identifier
| NPI | 1013529155 |
|---|---|
| Provider Name | Mark Skousen |
| First Address | Snowflake, AZ 85937-6185 |
| Second Address | Snowflake, AZ 85937-6185 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/08/2020 |
| Last Update Date | 19/08/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.