Individual provider · Type 1 NPI

Amy M. Sistrunk

Specialist · Tumwater, WA

NPI number 1033453147 Active

Practice location

3300 21st Ave SW Apt L3
Tumwater, WA 98512-5688

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA00019264 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1033453147

Amy M. Sistrunk's National Provider Identifier is 1033453147, issued on Nov 15, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Tumwater, WA. The record was last updated on Nov 15, 2012.