Sisu Health Clinic LLC
Nurse Practitioner in Richland, WA. Organization (NPI-2).
NPI number1831817642
StatusActive
Last updated in NPPESAug 17, 2022
Details
- NPI
- 1831817642
- Entity type
- Organization (NPI-2)
- Legal business name
- Sisu Health Clinic LLC
- Organization subpart
- No
- Enumeration date
- Aug 17, 2022
- Certification date
- Aug 17, 2022
- Last updated
- Aug 17, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | – | – | Yes |
Practice location
945 Stevens DrRichland, WA 99352-3508
Phone 509-578-1019 · Fax 509-578-1081
Mailing address
945 Stevens DrRichland, WA 99352-3508
Phone 509-578-1019 · Fax 509-578-1081
Authorized official
Marja Adair
NP, Owner
7047733878
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