Individual
MARY A HAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
413 LILLY RD NE, OLYMPIA, WA 98506-5133
(360) 493-7191
Mailing address
413 LILLY ROAD NE, OLYMPIA, WA 98506-5101
(360) 493-7562
(425) 258-7022
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30005475
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN00059410
STATE LICENSE RN
WA
Enumeration date
10/13/2006
Last updated
09/28/2007
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