IndividualActive
Mark Siemon, PHD, RN, PHNA-BC
NPI 1639016264 · Community Health Registered Nurse · Teec Nos Pos, AZ
Provider details
- NPI number
- 1639016264
- Entity type
- Individual
- Primary specialty
- Community Health Registered NurseNursing Service Providers
- Credential
- PHD, RN, PHNA-BC
- Sex
- Male
- Sole proprietor
- No
- License
- 338113 (AZ)
Practice location
Hwy 160 & Navajo Route 35
Teec Nos Pos, AZ 86514-9604
Phone: (928) 656-5308
Mailing address
Hc 61 Box 3054
Teec Nos Pos, AZ 86514-9604
Registry dates
- Enumerated
- 2026-05-01
- Last updated
- 2026-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.