Kisanga, Vivian
Kisanga, Vivian is an sole proprietor health care provider with primary practice located at 18715 106Th Avenue Ct E , Puyallup WA 98374-8735. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Kisanga, Vivian can be contacted via phone (206) 759-0207.Contact Information
Primary practice address
18715 106Th Avenue Ct E
Puyallup WA 98374-8735
Phone: (206) 759-0207
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP132350 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP61183787 | Washington |
Profile Details
| NPI number | 1821530155 |
|---|---|
| LBN Legal business name | Kisanga, Vivian |
| Credentials | PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2016 |
| Last updated | Aug 25th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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