Individual
MARY SLOAN FOUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
101 W 8TH AVE STE 1400, SPOKANE, WA 99204-2307
(509) 474-2200
(509) 224-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60004087
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0236544
LABOR & INDUSTRIES
WA
01
—
7628FO
ASURIS NW HEALTH
—
05
—
808048700
—
ID
01
—
91100762799202A043
TRIWEST
—
01
—
9162159
AETNA
—
05
—
9657222
—
WA
Enumeration date
04/29/2008
Last updated
05/18/2021
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