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MARYALICE HARDISON TELEMEDICINE PLLC
NPI 1073240636
Clinic/Center - Primary Care in Yakima, WA

Active since August 03, 2022
707 S 17TH AVE, YAKIMA, WA 98902(561) 543-7064 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Maryalice Hardison Telemedicine Pllc NPPES

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

MARYALICE HARDISON TELEMEDICINE PLLC (NPI 1073240636), doing business as Ravenheart Telemedicine, is a healthcare organization registered as a primary care in Yakima, Washington and active in the NPI registry since August 2022. The organization lists Maryalice Hardison, Founder, as its authorized official.

NPPES Registry Identity

NPI1073240636
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMARYALICE HARDISON TELEMEDICINE PLLC
Location Address707 S 17TH AVEYakima, WA 98902-4203
Mailing Address707 S 17th AveYakima, WA 98902-4203 · (561) 543-7064
Phone(561) 543-7064
Organization SubpartNo
Authorized OfficialMaryalice HardisonFounder · (561) 543-7064
Enumeration DateAugust 3, 2022
NPPES CertifiedAugust 3, 2022
✔ NPI 1073240636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
707 S 17TH AVE, Yakima, WA 98902
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Other Names 1

Doing Business AsRavenheart Telemedicine

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 Maryalice Hardison Telemedicine PLLC's NPI number?

The NPI number for Maryalice Hardison Telemedicine PLLC is 1073240636. It was assigned to this organization in the NPPES registry on August 3, 2022. The provider is doing business as Ravenheart Telemedicine.

Where is Maryalice Hardison Telemedicine PLLC located?

Maryalice Hardison Telemedicine PLLC is located at 707 S 17th Ave, Yakima, WA 98902. The listed phone number is (561) 543-7064.

What is Maryalice Hardison Telemedicine PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Maryalice Hardison Telemedicine PLLC was last updated on August 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.