Individual
MRS. SARA WISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
808 N 39TH AVE, YAKIMA, WA 98902-6388
(509) 574-3400
Mailing address
PO BOX 9787, YAKIMA, WA 98909-0787
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60580137
WA
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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