Individual
MS. MARY JANE TYLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN, ARNP
Contact information
Practice address
4116 PUEBLO HTS, MOUNT VERNON, WA 98273-8963
(360) 708-9286
(360) 424-0549
Mailing address
4116 PUEBLO HTS, MOUNT VERNON, WA 98273-8963
(360) 708-9286
(360) 424-0549
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00065198
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9635491
—
WA
Enumeration date
06/13/2006
Last updated
07/08/2007
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