Active NPI
Marila Moul, WHNP
- Women's Health Nurse Practitioner
- Puyallup, WA
National Provider Identifier
1609556141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- AP61449979
- Practice address
- 702 30TH Ave SW
Puyallup, WA 98373-2756 - Phone
- (800) 769-0045
- NPI assigned
- Jul 19, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | AP61449979 | WA | Primary |
Addresses
Primary practice location
702 30TH Ave SW
Puyallup, WA 98373-2756
Mailing address
1605 96TH Dr SE
Lake Stevens, WA 98258-3949
Phone (206) 409-8969
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61449979 | WA | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689724800000",
"number": "1609556141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 96TH DR SE",
"city": "LAKE STEVENS",
"state": "WA",
"postal_code": "982583949",
"telephone_number": "206-409-8969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 30TH AVE SW",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983732756",
"telephone_number": "800-769-0045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUL",
"first_name": "MARILA",
"credential": "WHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-19",
"last_updated": "2023-07-19",
"certification_date": "2023-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Women's Health",
"state": "WA",
"license": "AP61449979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.