MARY BETH VANBRONKHORST PA-C
NPI 1003823147
Physician Assistant in Everson, WA

Active since August 02, 2006
407 E MAIN ST, EVERSON, WA 98247(360) 966-3441(360) 966-0969 Get Directions Write a Review

NPPES record last updated: August 20, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Beth Vanbronkhorst Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY BETH VANBRONKHORST PA-C (NPI 1003823147) is an individual physician assistant in Everson, Washington, licensed in Washington (PA10002907) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1003823147
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY BETH VANBRONKHORSTCredential: PA-C
Location Address407 E MAIN STEverson, WA 98247-9525
Mailing Address709 W Orchard Dr, Suite #4Bellingham, WA 98225-1766 · (360) 318-8800 · Fax (360) 318-1085
Fax(360) 966-0969
Sole ProprietorNo
Enumeration DateAugust 2, 2006
Last NPPES UpdateAugust 20, 2013
NPI 1003823147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WA · PA10002907
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA10002907 (WA)
407 E MAIN ST, Everson, WA 98247

Other Identifiers 7

Other60332UWA · Regence Blue Shield Pin
Other0157259WA · L&i Pin
Medicaid8324469WA
Medicare PING8917651WA
Medicare PINAB27593WA
Medicare UPINP54500
Other0308152WA · L&i

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
407 E MAIN ST
EVERSON, WA 98247
Health Maintenance Organization
407 E MAIN ST
EVERSON, WA 98247
Family Medicine
407 E MAIN ST
EVERSON, WA 98247

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Vanbronkhorst's NPI number?

The NPI number for Mary Vanbronkhorst is 1003823147. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Mary Vanbronkhorst located?

Mary Vanbronkhorst practices at 407 E Main St, Everson, WA 98247. The listed phone number is (360) 966-3441.

What is Mary Vanbronkhorst's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Mary Vanbronkhorst was last updated on August 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.