Individual
MS. MAREN LEE MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60624667
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2057051
—
WA
Enumeration date
01/29/2016
Last updated
08/22/2016
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