Harlan-Ivy, Marie C

Harlan-Ivy, Marie C is an individual health care provider with primary practice located at 2501 Business Ln , Yakima WA 98901-1167. 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. Harlan-Ivy, Marie C can be contacted via phone (509) 575-4800.

Contact Information

Primary practice address
2501 Business Ln Yakima WA 98901-1167
Phone: (509) 575-4800
Fax: (509) 573-3400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30003719 Washington

Profile Details

NPI number 1306854492
LBN Legal business name Harlan-Ivy, Marie C
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Jan 9th, 2009 - about 15 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 1306854492 NPPES
Washington MEDICAID 9625369

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