| Sisay Faynato, | |
|
4610 200th St Sw Ste J, Lynnwood, WA 98036-6606 | |
| (425) 263-6341 | |
| (425) 678-8457 |
| Full Name | Sisay Faynato |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 4610 200th St Sw Ste J, Lynnwood, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679303564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP61572832 (Washington) | Primary |
| Entity Name | New Era Mental Health Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073198602 PECOS PAC ID: 6103229240 Enrollment ID: O20210727001224 |
| Entity Name | Principal Health Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932910684 PECOS PAC ID: 5193246676 Enrollment ID: O20250313000876 |
| Mailing Address | Practice Location Address |
|---|---|
| Sisay Faynato, 4610 200th St Sw Ste J, Lynnwood, WA 98036-6606 Ph: (425) 263-6341 | Sisay Faynato, 4610 200th St Sw Ste J, Lynnwood, WA 98036-6606 Ph: (425) 263-6341 |
Mishele M Rutherford, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20508 56th Ave W, Lynnwood, WA 98036 Phone: 206-743-1020 | |
Mrs. Sejal Parekh Graber, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3501 Shelby Rd Ste B, Lynnwood, WA 98087 Phone: 425-742-9119 Fax: 425-787-1055 | |
Valerie Michele White, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4111 Alderwood Mall Blvd, Lynnwood, WA 98036 Phone: 425-616-4100 | |
Amber Melland Wilson, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3500 188th St Sw Ste 250, Lynnwood, WA 98037 Phone: 425-236-4203 | |
Bridget Noorishad, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3501 Shelby Rd Ste B, Lynnwood, WA 98087 Phone: 425-742-9119 | |
Liqiong Zhang, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19401 40th Ave W Ste 230, Lynnwood, WA 98036 Phone: 425-744-7153 | |
Jessie Enell, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16824 44th Ave W Ste 170, Lynnwood, WA 98037 Phone: 425-908-0123 Fax: 844-446-9742 |