Vait, Marylu Helen

Vait, Marylu Helen is an individual health care provider with primary practice located at 8901 W Gage Blvd , Kennewick WA 99336. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Vait, Marylu Helen can be contacted via phone (509) 735-1100.

Contact Information

Primary practice address
8901 W Gage Blvd Kennewick WA 99336
Phone: (509) 735-1100
Fax: (509) 735-1180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30006018 Washington

Profile Details

NPI number 1023179421
LBN Legal business name Vait, Marylu Helen
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Oct 31st, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023179421 NPPES
Washington MEDICAID 9633439

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