Sisson, Mariah Nicole

Sisson, Mariah Nicole is an individual health care provider with primary practice located at 1900 Centracare Cir , Saint Cloud MN 56303-5000. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Sisson, Mariah Nicole can be contacted via phone (320) 654-3620.

Contact Information

Primary practice address
1900 Centracare Cir Saint Cloud MN 56303-5000
Phone: (320) 654-3620
Fax: (320) 654-3647
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X 72349 Minnesota
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 72349 Minnesota

Profile Details

NPI number 1548752496
LBN Legal business name Sisson, Mariah Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2018
Last updated Aug 19th, 2022 - about 3 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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