Individual
RISHI S MISTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
402 S 12TH AVE, YAKIMA, WA 98902-3115
(509) 575-0114
(509) 575-0808
Mailing address
501 S 5TH AVE, YAKIMA, WA 98902-3550
(509) 494-6700
(509) 573-6275
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP60610438
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0350371
LABOR & INDUSTRIES
WA
05
—
2049973
—
WA
Enumeration date
11/16/2015
Last updated
09/26/2018
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