Provider Demographics
NPI:1407524986
Name:SINCLAIR, KRISTI SUE (RN)
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:SUE
Last Name:SINCLAIR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19913 SILVERTON WAY
Mailing Address - Street 2:
Mailing Address - City:GRANITE FALLS
Mailing Address - State:WA
Mailing Address - Zip Code:98252-8915
Mailing Address - Country:US
Mailing Address - Phone:206-356-3496
Mailing Address - Fax:
Practice Address - Street 1:7700 NE PARKWAY DR
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-6648
Practice Address - Country:US
Practice Address - Phone:206-356-3496
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-31
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR202100369RN163WG0600X
WARN60641534163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WG0600XNursing Service ProvidersRegistered NurseGerontology