Individual provider · Type 1 NPI

Calisto Tanaka Chitsiku Sr.

Licensed Practical Nurse · Shelton, WA

NPI number 1093610826 Active

Practice location

307 W Cota St
Shelton, WA 98584-2265

Call (360) 205-8001 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN.LP.70145359 (WA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1093610826

Calisto Tanaka Chitsiku Sr.'s National Provider Identifier is 1093610826, issued on Oct 12, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Shelton, WA. The record was last updated on Oct 12, 2026.