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Vivian Kisanga, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Puyallup, Washington
NPI 1821530155

Vivian Kisanga is a Psychiatric/Mental Health Nurse Practitioner based in Puyallup, WA and is specialized in Psychiatric/Mental Health. Vivian Kisanga practices in Puyallup, WA and has the professional credentials of PMHNP-BC. The NPI Number for Vivian Kisanga is 1821530155 and holds a License No. AP132350 (Washington).

The current practice location address for Vivian Kisanga is 18715 106Th Avenue Ct E, Puyallup, WA and can be reached out via phone at 206-759-0207.

Location: 18715 106Th Avenue Ct E, Puyallup, WA, 98374-8735
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821530155
Provider Name
Vivian Kisanga
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
18715 106Th Avenue Ct E, Puyallup, WA, 98374-8735
Phone Number
206-759-0207
Fax Number
Provider Enumeration Date
11/17/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
18715 106Th Avenue Ct E
City
Puyallup
State
Washington
Zip
98374-8735
Phone Number
206-759-0207
Fax Number
person
Provider Business Mailing Address Details
Address
18715 106Th Avenue Ct E
City
Puyallup
State
Washington
Zip
98374-8735
Phone Number
206-759-0207
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
AP132350 (Texas)
Definition
Definition to come...
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