Individual
MARLY HAFNER YOURISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
615 SHERIDAN ST, PORT TOWNSEND, WA 98368-2439
(360) 385-9400
(360) 385-9401
Mailing address
615 SHERIDAN ST, PORT TOWNSEND, WA 98368-2439
(360) 385-9400
(360) 385-9401
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
RN00063464
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7311707
—
WA
Enumeration date
12/04/2006
Last updated
03/07/2023
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