MARYALICE HARDISON TELEMEDICINE PLLC NPI 1073240636

NPI Information

NPI: 1073240636
Provider Name: MARYALICE HARDISON TELEMEDICINE PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
707 S 17TH AVE
YAKIMA, WA
ZIP 98902
Phone: (561) 543-7064
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MARYALICE HARDISON TELEMEDICINE PLLC is a primary care clinic center in Yakima, WA. MARYALICE HARDISON TELEMEDICINE PLLC NPI is 1073240636. The provider is registered as an organization entity type.

The provider's business location address is:

707 S 17TH AVE
YAKIMA, WA
ZIP 98902-203
Phone: (561) 543-7064

The provider's authorized official is Maryalice Hardison .
The authorized official title is Founder and has the following contact phone number (561) 543-7064.

The enumeration date for this NPI number is 8/3/2022 and was last updated on 8/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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