Individual
MARY LYNN BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
421 S DIVISION ST, SPOKANE, WA 99202-1331
(509) 474-2100
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 474-2100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30006845
WA
Other
Enumeration date
08/26/2005
Last updated
04/16/2021
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