Individual
MALLORY ROSE BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
127 NE CAMANO DR STE A, CAMANO ISLAND, WA 98282-8732
(360) 387-5398
(360) 629-1644
Mailing address
1268 MT BAKER AVE, CAMANO ISLAND, WA 98282-8439
(509) 209-3152
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61464135
WA
Other
Enumeration date
07/18/2023
Last updated
08/27/2024
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