Provider Demographics
NPI:1215348867
Name:POND, MARIE ANN (FNP-C, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:ANN
Last Name:POND
Suffix:
Gender:
Credentials:FNP-C, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3820 E HAWSER ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85739-9443
Mailing Address - Country:US
Mailing Address - Phone:520-477-7704
Mailing Address - Fax:888-991-2287
Practice Address - Street 1:1775 W SAINT MARYS RD STE 211
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-2655
Practice Address - Country:US
Practice Address - Phone:520-477-7704
Practice Address - Fax:888-991-2287
Is Sole Proprietor?:No
Enumeration Date:2014-05-16
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP7459363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health