MARA LYNN FUSFIELD ARNP NPI 1992871107

NPI Information

NPI: 1992871107
Provider Name: MARA LYNN FUSFIELD, ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
210 GOVERNMENT RD
MATTAWA, WA
ZIP 99349
Phone: (509) 932-4499
Get Directions

Mara Lynn Fusfield, ARNP is a family nurse practitioner in Mattawa, WA. Mara Lynn Fusfield, ARNP NPI is 1992871107. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

210 GOVERNMENT RD
MATTAWA, WA
ZIP 99349-116
Phone: (509) 932-4499
Fax: (509) 932-5363

The NPI 1992871107 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 8/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		AP30005706	WASHINGTON	No
2	363LF0000X	Nurse Practitioner	Family	AP30005706	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0399341	OTHER	WASHINGTON	(L&I)
2	1024069	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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