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MR. MANSURU MUSTAPHA PHYSICIAN ASSISTANT
NPI 1013159193
Physician Assistant in Jblm, WA

Active since April 03, 2009
9119 MIL PARK AVE, WINDER CLINIC -RAIDER CLINIC, JBLM, WA 98433(253) 477-0800 Get Directions Write a Review

NPPES record last updated: May 30, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Mansuru Mustapha Physician Assistant NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MANSURU MUSTAPHA PHYSICIAN ASSISTANT (NPI 1013159193) is an individual physician assistant in Jblm, Washington and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1013159193
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MANSURU MUSTAPHACredential: PHYSICIAN ASSISTANT
Location Address9119 MIL PARK AVE, WINDER CLINIC -RAIDER CLINICJblm, WA 98433-1100
Mailing AddressMadigan Army Center 9040 Reid St, Attn: Mchj-clq-cTacoma, WA 98431-1100 · (253) 968-2252 · Fax (253) 968-3278
Phone(253) 477-0800
Sole ProprietorNo
Enumeration DateApril 3, 2009
Last NPPES UpdateMay 30, 2013
✔ NPI 1013159193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
9119 MIL PARK AVE, Jblm, WA 98433
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Other Identifiers 1

Medicare UPINVAD000

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALISHA NELOMS
Clinic/Center (Dental)
9119 MIL PARK AVE
FORT LEWIS, WA 98433
Pierce County (253) 966-9960
MADIGAN ARMY MEDICAL CTR
Clinic/Center (Military/U.S. Coast Guard Outpatient)
9119 MIL PARK AVE, BLDG 9119
JOINT BASE LEWIS-MCCHORD, WA 98433
Pierce County (253) 477-0803
MITCHELL T MARKS PA-C
Physician Assistant
9119 MIL PARK AVE
JOINT BASE LEWIS MCCHORD, WA 98433
Pierce County (253) 477-0800
JENNIFER RENAE SAUCIER
Family Medicine
9119 MIL PARK AVE
TACOMA, WA 98433
Pierce County (360) 556-0359
CHAN M OH
Dental Hygienist
9119 MIL PARK AVE, SUITE 1111
JBLM, WA 98433
Pierce County (253) 966-9960
TORIA L KOUTRAS DMD
Dentist
9119 MIL PARK AVE
TACOMA, WA 98433
Pierce County (603) 762-3810
MR. DANE CAMERON
Dental Hygienist
9119 MIL PARK AVE, FULTON DENTAL
JBLM, WA 98433
Pierce County (253) 966-9960

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mansuru Mustapha's NPI number?

The NPI number for Mansuru Mustapha is 1013159193. It was assigned to this individual provider in the NPPES registry on April 3, 2009.

Where is Mansuru Mustapha located?

Mansuru Mustapha practices at 9119 Mil Park Ave Winder Clinic -Raider Clinic, Jblm, WA 98433. The listed phone number is (253) 477-0800.

What is Mansuru Mustapha's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Mansuru Mustapha was last updated on May 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.