person
Mahilet Sisay, CNP
Addiction (Substance Use Disorder) Registered Nurse in St Louis Park, Minnesota
NPI 1609205707

Mahilet Sisay is an Addiction (Substance Use Disorder) Registered Nurse based in Saint Paul, MN and is specialized in Addiction (Substance Use Disorder). Mahilet Sisay practices in St Louis Park, MN and has the professional credentials of CNP. The NPI Number for Mahilet Sisay is 1609205707 and holds a License No. 10934 (Minnesota).

The current practice location address for Mahilet Sisay is 5320 W 23Rd St Ste 130, St Louis Park, MN and can be reached out via phone at 952-345-3213.

Location: 5320 W 23Rd St Ste 130, St Louis Park, MN, 55116-2290
person
Provider Profile Details
NPI Number
1609205707
Provider Name
Mahilet Sisay
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
5320 W 23Rd St Ste 130, St Louis Park, MN, 55116-2290
Phone Number
952-345-3213
Fax Number
Provider Enumeration Date
11/08/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5320 W 23Rd St Ste 130
City
State
Zip
55416-1670
Phone Number
952-345-3213
Fax Number
person
Provider Business Mailing Address Details
Address
5320 W 23Rd St Ste 130
City
State
Zip
55416-1670
Phone Number
952-345-3213
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R 203829-0 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
10934 (Minnesota)
Definition
Definition to come...
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