Individual provider · Type 1 NPI

Kathryn Sisterman, DNP

Gerontology Nurse Practitioner · Boise, ID

NPI number 1942485891 Active

Practice location

1055 N Curtis Rd
Boise, ID 83706-1309

Mailing address

3340 E Goldstone Way
Meridian, ID 83642

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X643423 (CA)
Registered Nurse 163W00000X161452 (AZ)
Registered Nurse 163W00000X4704244332 (MI)
Acute Care Nurse Practitioner 363LA2100X7710 (AZ)
Family Nurse Practitioner 363LF0000X17433 (CA)
Family Nurse Practitioner 363LF0000X3577 (AZ)
Gerontology Nurse Practitioner Primary 363LG0600X59073 (ID)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1942485891

Kathryn Sisterman, DNP's National Provider Identifier is 1942485891, issued on Jan 9, 2008. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Boise, ID. The record was last updated on Aug 23, 2018.