MISTINIQUE J FULLER RN, LMP
NPI 1457736944
Registered Nurse - Nurse Massage Therapist (NMT) in Othello, WA

Q: What is Mistinique Fuller's NPI number?

The NPI number for Mistinique Fuller is 1457736944. It was assigned to this individual provider in the NPPES registry on July 25, 2015. The provider is also known as Mrs. Misty Fuller Rn, Lmp.

Q: What is Mistinique Fuller's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Nurse Massage Therapist (NMT), with taxonomy code 163WM1400X.

Q: When was this NPI record last updated?

The NPPES record for Mistinique Fuller was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 25, 2015

1100 E MAIN ST STE A, OTHELLO, WA 99344(509) 770-4067 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mistinique J Fuller Rn, Lmp NPPES

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

MISTINIQUE J FULLER RN, LMP (NPI 1457736944) is an individual nurse massage therapist (nmt) provider in Othello, Washington, licensed in Washington (RN60154916) and active in the NPI registry since July 2015. She maintains a secondary practice location in Othello.

NPPES Registry Identity

NPI1457736944

Entity TypeIndividualFemale

Primary Taxonomy163WM1400X

Provider Legal NameMISTINIQUE J FULLERCredential: RN, LMP

Location Address1100 E MAIN ST STE AOthello, WA 99344-1587

Mailing Address1968 W Muse RdOthello, WA 99344-9757 · (509) 770-4067

Phone(509) 770-4067

Sole ProprietorNo

Enumeration DateJuly 25, 2015

Last NPPES UpdateOctober 5, 2021

NPPES CertifiedMay 14, 2021

✔ NPI 1457736944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Nurse Massage Therapist (NMT)Nursing Service Providers

Taxonomy Code163WM1400X

License✔ Licensed in WA · RN60154916

1100 E MAIN ST STE A, Othello, WA 99344

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Other Names 1

Other Name (5)Mrs. Misty Fuller Rn, Lmp

Secondary Practice Location 1

Location 11968 W Muse RdOthello, WA 99344-9757 · Phone (509) 770-4067

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 Mistinique Fuller's NPI number?

The NPI number for Mistinique Fuller is 1457736944. It was assigned to this individual provider in the NPPES registry on July 25, 2015. The provider is also known as Mrs. Misty Fuller Rn, Lmp.

Where is Mistinique Fuller located?

Mistinique Fuller practices at 1100 E Main St Ste A, Othello, WA 99344. The listed phone number is (509) 770-4067.

What is Mistinique Fuller's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Nurse Massage Therapist (NMT), with taxonomy code 163WM1400X.

When was this NPI record last updated?

The NPPES record for Mistinique Fuller was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.