Individual provider · Type 1 NPI

Mahilet Sisay, CNP

Gerontology Nurse Practitioner · St. Louis Park, MN

NPI number 1609205707 Active

Practice location

5320 W 23rd St Ste 130
St. Louis Park, MN 55416-1670

Mailing address

1375 Davern St Apt 408
St. Paul, MN 55116-2290

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X10934 (MN)
Addiction (Substance Use Disorder) Registered Nurse 163WA0400XR 203829-0 (MN)

Gerontology Nurse Practitioner: Definition to come...

24 other providers at this address

Other gerontology nurse practitioner providers in St. Louis Park

See all in St. Louis Park →

About NPI 1609205707

Mahilet Sisay, CNP's National Provider Identifier is 1609205707, issued on Nov 8, 2013. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in St. Louis Park, MN. The record was last updated on Feb 8, 2024.