Individual provider · Type 1 NPI

Garrett Clay Wistisen, FNP

Family Nurse Practitioner · Moses Lake, WA

NPI number 1124824370 Active

Practice location

1550 S Pioneer Way Ste 100
Moses Lake, WA 98837-4637

Mailing address

1616 S Pioneer Way
Moses Lake, WA 98837-2487

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP61662619 (WA)

Family Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1124824370

Garrett Clay Wistisen, FNP's National Provider Identifier is 1124824370, issued on Feb 19, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Moses Lake, WA. The record was last updated on May 4, 2026.