Pax Et Bonum Family Practice

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

102313 Issued in AZ

Legal business name

PAX ET BONUM FAMILY PRACTICE

Practice address

1820 E Bell de Mar Dr Apt N206
Tempe, AZ 85283-4295

Phone

(480) 236-7330

NPI assigned

Jun 3, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marilynn Mulheron, NP

Title

Owner, Family Nurse Practitioner

Phone

(480) 236-7330

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1669608717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 E BELL DE MAR DR APT N206",
            "address_2": "N206",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852834295",
            "telephone_number": "480-236-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 E BELL DE MAR DR APT N206",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852834295",
            "telephone_number": "480-236-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAX ET BONUM FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "MULHERON",
        "authorized_official_first_name": "MARILYNN",
        "authorized_official_title_or_position": "OWNER, FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "480-236-7330",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "102313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zackary T Paustian, LPC
• Elisa Beth Pavlet
• Amy Pavlica, PTA-014787
• Rebecca Pawlowski, BCBA, LBA
• Paws Bereavement
• Katherine Elaine Paxton, C.N.M.
• Danielle Cheri Payne
• Desislava Payne, PHARMD
• Kathaerine Marie Payne, M.C.D.
• McKenzi Payne

• Family Nurse Practitioner in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.