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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. GARRETT CLAY WISTISEN, FNP

Active Sole Proprietor

MR. GARRETT CLAY WISTISEN, FNP is a Family Nurse Practitioner healthcare provider located in MOSES LAKE, Washington. NPI 1124824370 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · MOSES LAKE, WA

Registration Details

NPI Number
1124824370
Provider Type
Individual
Gender
Male
NPI Issued
Feb 19, 2025 (1.4802717629872 yrs)
Last Updated
Feb 19, 2025
License
AP61662619 (WA)
Sole Proprietor
Yes

Practice Information

Address
1550 S PIONEER WAY STE 100
MOSES LAKE, WA, 988374637
Browse WA providers · Browse ZIP 98837
Phone
5097939770
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in MOSES LAKE, WA

Name Credential NPI
MRS. CONNIE L HARRIS FNP-C 1861462996
KRISTINE E KEHLER ARNP 1437313640
MS. SHARON L SOUTHWICK FNP 1790932085
TAMERA R NOLAN ARNP 1467754010
ANGELA SUE BENNETT ARNP 1932478641
MOMODU KAMARU OSENI FNP 1851631733
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.