Individual
MARIE C HARLAN-IVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2501 BUSINESS LN, YAKIMA, WA 98901-1167
(509) 575-4800
(509) 573-3400
Mailing address
732 SUMMITVIEW AVE, #621, YAKIMA, WA 98902-3032
(509) 573-3448
(509) 574-4455
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30003719
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9625369
—
WA
Enumeration date
08/04/2006
Last updated
01/09/2009
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