Individual
MARA LYNN FUSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
210 GOVERNMENT RD, MATTAWA, WA 99349-5116
(509) 932-4499
(509) 932-5363
Mailing address
210 GOVERNMENT RD, MATTAWA, WA 99349-5116
(509) 932-4499
(509) 932-5363
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP30005706
WA
363LF0000X
Family Nurse Practitioner
Primary
AP30005706
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0399341
(L&I)
WA
05
—
1024069
—
WA
Enumeration date
11/28/2006
Last updated
09/24/2025
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