Sisay, Mahilet

Sisay, Mahilet is an sole proprietor health care provider with primary practice located at 5320 W 23Rd St Ste 130 , St Louis Park MN 55416-1670. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Nursing Service Providers / Addiction (Substance Use Disorder). Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Sisay, Mahilet can be contacted via phone (952) 345-3213.

Contact Information

Primary practice address
5320 W 23Rd St Ste 130 St Louis Park MN 55416-1670
Phone: (952) 345-3213
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 10934 Minnesota
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X R 203829-0 Minnesota

Profile Details

NPI number 1609205707
LBN Legal business name Sisay, Mahilet
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2013
Last updated Feb 8th, 2024 - about 10 months 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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