Individual
EMILY SISA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10450 PARK MEADOWS DR, LONE TREE, CO 80124-5529
(720) 707-6914
Mailing address
3530 IVY ST, DENVER, CO 80207-1242
(703) 403-5665
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
C-APN.0003040-C-NP
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.0996677
CO
Other
Enumeration date
06/18/2021
Last updated
07/25/2024
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