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.
Popular Providers
-
Small, Jane Katherine
325 E Pioneer Ave , Puyallup WA 98372-3265 -
Cooper, Angela Patricia
7718 162Nd St E , Puyallup WA 98375-7508 -
Wilde, Lekisha
325 E Pioneer , Puyallup WA 98372-3265 -
Putaansuu, Susan M
325 E Pioneer , Puyallup WA 98372-3265 -
Tomsic, Joseph Patrick
325 E Pioneer , Puyallup WA 98372-3265 -
Wical, Timothy C
15406 Meridian E , Puyallup WA 98375-9504 -
Jahner, Scott A
1002 N Meridian Ste 100 Pmb 193, Puyallup WA 98371-4409 -
Demiero, Alison
16521 84Th Avenue Ct E , Puyallup WA 98375-6294