Individual
MR. GARRETT CLAY WISTISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1550 S PIONEER WAY STE 100, MOSES LAKE, WA 98837-4637
(509) 793-9770
Mailing address
1616 S PIONEER WAY, MOSES LAKE, WA 98837-2487
(509) 793-9715
(509) 764-3244
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61662619
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2319106
—
WA
Enumeration date
02/19/2025
Last updated
05/04/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us