Eklund, Mary S.

Eklund, Mary S. is an sole proprietor health care provider with primary practice located at 3240 14Th Ave Nw , Olympia WA 98502-8509. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Eklund, Mary S. can be contacted via phone (360) 866-7990.

Contact Information

Primary practice address
3240 14Th Ave Nw Olympia WA 98502-8509
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30003260 Washington

Profile Details

NPI number 1184613903
LBN Legal business name Eklund, Mary S.
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2005
Last updated Jul 12th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184613903 NPPES
Washington MEDICAID 9610544

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