Wilcox, Mary M.

Wilcox, Mary M. is an individual health care provider with primary practice located at 1708 Yakima Ave , Tacoma WA 98405-5307. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Wilcox, Mary M. can be contacted via phone (253) 596-3339.

Contact Information

Primary practice address
1708 Yakima Ave Tacoma WA 98405-5307
Phone: (253) 596-3339
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN00141664 Washington
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP30007015 Washington

Profile Details

NPI number 1689725541
LBN Legal business name Wilcox, Mary M.
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Jun 22nd, 2021 - about 3 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 1689725541 NPPES
Washington MEDICAID 9647975

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