Vivian Kisanga, PMHNP-BC is a psychiatric/mental health nurse practitioner in Puyallup, WA with 8 years of experience. Vivian Kisanga, PMHNP-BC NPI is 1821530155. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
18715 106TH AVENUE CT E
PUYALLUP, WA
ZIP 98374-735
Phone: (206) 759-0207
The NPI 1821530155 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 11/17/2016 and was last updated on 8/25/2022.