Individual
MRS. KRISTEN ELISE SHI SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ANP-BC
Contact information
Practice address
135 S 336TH ST, FEDERAL WAY, WA 98003-6350
(253) 835-7453
Mailing address
135 S 336TH ST, FEDERAL WAY, WA 98003-6350
(253) 835-7453
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60311591
WA
Other
Enumeration date
09/21/2012
Last updated
06/10/2021
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