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Ms. Mary Alice Mccubbins, PNP
Pediatric Nurse Practitioner in Longview, Washington
NPI 1376527648

Mary Alice Mccubbins is a Pediatric Nurse Practitioner based in Longview, WA and is specialized in Pediatrics. Mary Alice Mccubbins practices in Longview, WA and has the professional credentials of PNP. The NPI Number for Mary Alice Mccubbins is 1376527648 and holds a License No. AP60567776 (Washington).

The current practice location address for Mary Alice Mccubbins is 971 11Th Ave, Longview, WA and can be reached out via phone at 360-423-6140 and via fax at 360-423-1405.

Location: 971 11Th Ave, Longview, WA, 98632-2503
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Provider Profile Details
NPI Number
1376527648
Provider Name
Mary Alice Mccubbins
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
971 11Th Ave, Longview, WA, 98632-2503
Phone Number
360-423-6140
Fax Number
360-423-1405
Provider Enumeration Date
12/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2047772 05 WA
institution
Provider Business Practice Location Address Details
Address
971 11Th Ave
City
State
Zip
98632
Phone Number
360-423-6140
Fax Number
360-423-1405
person
Provider Business Mailing Address Details
Address
971 11Th Ave
City
State
Zip
98632
Phone Number
360-423-6140
Fax Number
360-423-1405
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
AP60567776 (Washington)
Definition
Definition to come...
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