Provider Demographics
NPI:1821135005
Name:BEMENT, MARY LYNNE (FNP)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:LYNNE
Last Name:BEMENT
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:5037 CHAMBERS CREEK LOOP SE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501-7130
Mailing Address - Country:US
Mailing Address - Phone:253-968-4238
Mailing Address - Fax:253-968-4229
Practice Address - Street 1:MADIGAN ARMY MEDICAL CTR
Practice Address - Street 2:9908 WEST JOHNSON STREET
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-0001
Practice Address - Country:US
Practice Address - Phone:253-968-4238
Practice Address - Fax:253-968-4229
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY401803-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily