| Doctor Name: | MARI ELIZABETH VAN COURT |
| NPI Number: | 1144329293 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | AP30006776 |
| Business Practice Address: | 9875 Lilly Pond Ln Sw Port Orchard, WA - 983679483 |
| Business Phone Number: | 2532236711 |
| Business Fax Number: | 3608957848 |
| Mailing Address: | 9875 Lilly Pond Lane Sw, PORT ORCHARD |
| State: | WA |
| Postal Code: | 983670000 |
| Phone Number: | 2532236711 |
| Fax Number: | 3608957848 |
| NPI Enumeration Date: | 09/22/2006 |
| NPI Last Update Date: | 04/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP30006776 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |