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

MAHILET SISAY, CNP

Active Sole Proprietor

MAHILET SISAY, CNP is a Gerontological Nurse Practitioner healthcare provider located in ST LOUIS PARK, Minnesota. NPI 1609205707 is currently active in the NPPES registry. Verify at CMS.

Gerontological Nurse Practitioner · ST LOUIS PARK, MN

Registration Details

NPI Number
1609205707
Provider Type
Individual
Gender
Female
NPI Issued
Nov 8, 2013 (12.808217061729 yrs)
Last Updated
Feb 8, 2024
Licenses
10934 (MN)
R 203829-0 (MN)
Sole Proprietor
Yes

Practice Information

Address
5320 W 23RD ST STE 130
ST LOUIS PARK, MN, 554161670
Browse MN providers · Browse ZIP 55416
Phone
9523453213
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X
Additional Specialty
Nurse Anesthetist, Certified

Other Gerontological Nurse Practitioner Providers in ST LOUIS PARK, MN

Name Credential NPI
DEBRA ANN RUSTAD RN, CNP 1487659587
MS. SHANNON M KELLY-SCHUG G.N.P. 1891779567
DIANE P DUNN GNP 1699750141
PAMELA J GARRISON GNP 1346226099
SHERRY WENISCH 1952388779
MS. CHRISTA G BEACH GNP 1285611772
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.