Individual
AMY M. ARISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1311 E. DIVISION STREET, MOUNT VERNON, WA 98274
(360) 424-7991
(360) 428-4377
Mailing address
1400 E. KINCAID STREET, ATTN: CREDENTIALING, MOUNT VERNON, WA 98274
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
3552
WI
208800000X
Urology Physician
41429
TX
208800000X
Urology Physician
75430
MN
208800000X
Urology Physician
Primary
MD60396514
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183936701
—
TX
Enumeration date
10/04/2006
Last updated
06/04/2025
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