Provider Demographics
NPI:1790542934
Name:SINERA, ISATOU (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:ISATOU
Middle Name:
Last Name:SINERA
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4509 132ND PL SE APT 206
Mailing Address - Street 2:
Mailing Address - City:MILL CREEK
Mailing Address - State:WA
Mailing Address - Zip Code:98012-4311
Mailing Address - Country:US
Mailing Address - Phone:586-438-8820
Mailing Address - Fax:
Practice Address - Street 1:4509 132ND PL SE APT 206
Practice Address - Street 2:
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012-4311
Practice Address - Country:US
Practice Address - Phone:586-438-8820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60781989163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse