# EMILY SISA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1275102873
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | C-APN.0003040-C-NP | CO | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | APN.0996677 | CO | Yes |

## Other

- **Enumeration date:** 06/18/2021
- **Last updated:** 07/25/2024