Individual
MARY C. NOUWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
521 E MOUNTAIN VIEW AVE, ELLENSBURG, WA 98926-3865
(509) 962-1414
(509) 962-1408
Mailing address
501 S 5TH AVE, YAKIMA, WA 98902-3550
(509) 494-6700
(509) 573-6275
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00170791
WA
363L00000X
Nurse Practitioner
Primary
AP60264903
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0289530
LABOR & INDUSTRIES
WA
05
—
2015939
—
WA
Enumeration date
12/09/2011
Last updated
07/22/2015
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