MS. MAREN LEE MANSFIELD (NPI# 1790143212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790143212 |
Entity Type | Individual |
Full Name | MS. MAREN LEE MANSFIELD |
Credential | ARNP |
Practice Address |
2901 174th St Ne Marysville WA 98271-4743 |
Mailing Address |
Po Box 5127 Everett WA 98206-5127 |
Practice Telephone | 3604541900 |
Mailing Telephone | 3604541900 |
Mailing Fax Number | 3604541991 |
Enumeration Date | 2016-01-29 |
Last Update Date | 2016-08-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60624667 | WA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 2057051 | 05 |
Street Address |
2901 174TH ST NE |
City | MARYSVILLE |
State | WA |
Zip Code | 98271-4743 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205832078 | Ray F Smith | Family Medicine | 2901 174th St Ne, Marysville, WA 98271-4743 | 2005-06-24 |
1720698996 | Deandra T Elcock | Physical Therapist | 2901 174th St Ne, Marysville, WA 98271-4743 | 2020-08-03 |
1437774338 | Jacqueline Wahl | Nurse Practitioner | 2901 174th St Ne, Marysville, WA 98271-4743 | 2020-06-16 |
1902432131 | Justine Rodriguez | Physical Therapy Assistant | 2901 174th St Ne, Marysville, WA 98271-4743 | 2020-03-19 |
1376021204 | Tzyy-shiuan Young | Audiologist | 2901 174th St Ne, Marysville, WA 98271-4743 | 2018-08-02 |
1891238887 | Joli Butler | Physical Therapist | 2901 174th St Ne, Marysville, WA 98271-4743 | 2016-11-23 |
1437500659 | Rahul Surana | Internal Medicine | 2901 174th St Ne, Marysville, WA 98271-4743 | 2016-06-29 |
1326499575 | Sara Mirani Pournia | Internal Medicine | 2901 174th St Ne, Marysville, WA 98271-4743 | 2016-06-29 |
1487019857 | Emily Coraci | Physician Assistant | 2901 174th St Ne, Marysville, WA 98271-4743 | 2015-12-29 |
1518330869 | Michael Lodell | Physical Therapist | 2901 174th St Ne, Marysville, WA 98271-4743 | 2015-11-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174155345 | Kaiser Foundation Health Plan of Washington | Pharmacy | 2335 172nd Street Ne, Marysville, WA 98271 | 2020-02-06 |
1124511126 | Roger Lucas, P.s. | Dentist | 3806 116th St. Ne, Marysville, WA 98271 | 2018-06-13 |
1679020150 | Vest Seattle, LLC | Psychiatric Hospital | 3955 156th St, Marysville, WA 98271 | 2016-09-01 |
1790141828 | Washington Dental Corporation, PC | Dentist | 17103 28th Dr. Ne, Suite 104, Marysville, WA 98271 | 2016-01-05 |
1376932533 | Mindy Wiese | Counselor | 2321 Marine Dr. Ne, Marysville, WA 98271 | 2015-01-12 |
1609276260 | Sara Julsrud | Counselor | 2828 Mission Hill Road, Tulalip, WA 98271 | 2014-09-01 |
1710395355 | Sandra Breaux | Pharmacist | 8924 Quil Ceda Blvd, Tulalip, WA 98271 | 2014-07-28 |
1245665207 | Delores Helen Dusterhoft | Registered Nurse | 4421 122nd Pl Ne, Marysville, WA 98271 | 2013-09-10 |
1295079390 | Santi Wibawantini | Marriage & Family Therapist | 2321 Marine Dr Ne, Tulalip, WA 98271 | 2012-11-15 |
1558690586 | Stephen Lee | Pharmacist | 8825 34th Avenue Ne, Suite A, Tulalip, WA 98271 | 2009-12-22 |
Find all providers in zip 98271 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164072963 | Lyndsay Justine Crispin | Nurse Practitioner | 9311 Degood Rd, Marysville, OH 43040-9301 | 2019-09-13 |
1386290948 | David Alan Krass IIi | Nurse Practitioner | 3822 116th St Ne, Marysville, WA 98271-8418 | 2019-08-09 |
1053975714 | Danielle Holly Quinn | Nurse Practitioner | 3350 Gratiot Blvd Ste A, Marysville, MI 48040-2121 | 2019-04-29 |
1457817975 | Ashley White | Nurse Practitioner | 1010 Coventry Pl Apt B, Marysville, OH 43040-9087 | 2019-02-20 |
1205377033 | Morgan T. Harmeyer | Nurse Practitioner | 112 Morey Dr Ste B, Marysville, OH 43040-1646 | 2017-03-13 |
1184078677 | Krista Finch | Nurse Practitioner | 940 London Ave Ste 1100b, Marysville, OH 43040-8036 | 2016-04-20 |
1760665038 | Stephanie Renee Shampel | Nurse Practitioner | 894 Watkins Glen Blvd, Marysville, OH 43040-8489 | 2007-12-10 |
1841347952 | Kimberly Lynn Thorley | Nurse Practitioner | 14210 Scottslawn Rd, Marysville, OH 43041-0001 | 2007-01-04 |
1548344856 | Barbara Jane Wallner | Nurse Practitioner | 5730 Packard Ave Ste 500, Marysville, CA 95901-7119 | 2006-10-24 |
1285682724 | Julie A Sabo | Nurse Practitioner | 1044 Columbus Ave, Marysville, OH 43040-8337 | 2006-05-05 |
Find all providers in MARYSVILLE |
City | MARYSVILLE |
Zip Code | 98271 |
Please comment or provide details below to improve the information on MS. MAREN LEE MANSFIELD.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.