Search › Washington › 174400000X
Audra Sisak, QASP, BCCS
NPI 1578918207 · on the registry since 2016 · sole proprietor
Practice
- Address
- 7711 156th Street Ct E
Puyallup, WA 98375 - Phone
- (609) 312-8261
Additional practice sites
- 610 Bourdois Ave, Bellport, NY
- 610 Bourdois Ave, Bellport, NY
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Also registered as
- 174400000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-01-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington