Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maryalice Hardison Telemedicine PLLC

Organization Primary Care Clinic/Center · NPI 1073240636

Maryalice Hardison Telemedicine PLLC is a Primary Care Clinic/Center in Yakima, Washington. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

707 S 17th Ave
Yakima, WA 98902-4203
Phone: (561) 543-7064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1073240636
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maryalice Hardison — Founder · (561) 543-7064
Other names Ravenheart Telemedicine
NPI enumeratedAugust 3, 2022
Last updated in NPPESAugust 3, 2022
Certification dateAugust 3, 2022
Mailing address707 S 17th Ave, Yakima, WA 98902-4203

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