Individual
KRISTEN MAW ALYASSIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, MSN
Contact information
Practice address
707 N PEARL ST, ELLENSBURG, WA 98926-2938
(509) 925-7507
Mailing address
14120 W MANDALAY LN, SURPRISE, AZ 85379-8662
(319) 202-3809
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
235396
AZ
163WP0808X
Psychiatric/Mental Health Registered Nurse
235396
AZ
Other
Enumeration date
03/07/2023
Last updated
05/21/2024
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