Individual
MARY M. JANCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
105 W 8TH AVE STE 7010, SPOKANE, WA 99204-2312
(509) 353-3901
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 353-3901
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00067944
WA
363LF0000X
Family Nurse Practitioner
Primary
AP30005466
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0142268
LABOR & INDUSTRY
WA
01
—
71694U
REGENCE BLUESHIELD
WA
05
—
9628397
—
WA
Enumeration date
07/12/2006
Last updated
06/09/2021
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