Individual
MR. TITUS KOIPATON SAIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1201 PACIFIC AVE STE 400, TACOMA, WA 98402-4381
(253) 300-8453
Mailing address
315 BOULEVARD NE STE 310, ATLANTA, GA 30312-1264
(678) 371-8222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
61004280
WA
363LF0000X
Family Nurse Practitioner
AP131522
TX
363LF0000X
Family Nurse Practitioner
RN188920
GA
Other
Enumeration date
11/02/2016
Last updated
01/19/2021
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