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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. MARY LOU PINE, PA-C

Active Sole Proprietor

MRS. MARY LOU PINE, PA-C is a Physician Assistant healthcare provider located in SUNNYSIDE, Washington. NPI 1649388588 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SUNNYSIDE, WA

Registration Details

NPI Number
1649388588
Provider Type
Individual
Gender
Female
NPI Issued
Aug 29, 2006 (19.924267908346 yrs)
Last Updated
Sep 17, 2018
License
PA10004660 (WA)
Sole Proprietor
Yes

Practice Information

Address
700 S 11TH ST
SUNNYSIDE, WA, 989442243
Browse WA providers · Browse ZIP 98944
Phone
5098396822
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in SUNNYSIDE, WA

Name Credential NPI
MR. MARK GARDNER PA-C 1891797247
LISA M WEBER PA-C 1649221748
MRS. JULIE NICOLE BUTCHER PA-C 1831137348
MARIVEL SANDOVAL PA-C 1326115742
APRIL ANN MAY PA-C 1780800177
KYLENE N. CARDON PA-C 1215180021
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.