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Maryann Elizabeth Iversen, SUDPT
Student in an Organized Health Care Education/Training Program in Federal Way, Washington
NPI 1467193458

Maryann Elizabeth Iversen is a Student in an Organized Health Care Education/Training Program based in Federal Way, WA. Maryann Elizabeth Iversen practices in Federal Way, WA and has the professional credentials of SUDPT. The NPI Number for Maryann Elizabeth Iversen is 1467193458 and holds a License No. CO61285882 (Washington).

The current practice location address for Maryann Elizabeth Iversen is 30620 Pacific Hwy S Ste 107, Federal Way, WA and can be reached out via phone at 253-941-7555. You can also correspond with Maryann Elizabeth Iversen through the mailing address at 30620 PACIFIC HWY S STE 107, FEDERAL WAY, WA - 98003-4888 (mailing address contact number: 253-941-7555).

Location: 30620 Pacific Hwy S Ste 107, Federal Way, WA, 98003-4888
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467193458
Provider Name
Maryann Elizabeth Iversen
Credential
SUDPT
Provider Entity Type
Individual
Gender
Female
Address
30620 Pacific Hwy S Ste 107, Federal Way, WA, 98003-4888
Phone Number
253-941-7555
Fax Number
Provider Enumeration Date
04/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
30620 Pacific Hwy S Ste 107
City
Federal Way
State
Washington
Zip
98003-4888
Phone Number
253-941-7555
Fax Number
person
Provider Business Mailing Address Details
Address
30620 Pacific Hwy S Ste 107
City
Federal Way
State
Washington
Zip
98003-4888
Phone Number
253-941-7555
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
CO61285882 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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