Individual
MARY ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(253) 596-3300
Mailing address
PO BOX 34581, SEATTLE, WA 98124-1581
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
RN00068753
WA
367A00000X
Advanced Practice Midwife
Primary
AP30004003
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9627118
—
WA
Enumeration date
01/19/2007
Last updated
08/07/2009
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