KEYA CHISHOLM FNP-C
NPI 1083942114
Nurse Practitioner - Family in Issaquah, WA
Active since December 01, 2009
450 NW GILMAN BLVD, SUITE 201, ISSAQUAH, WA 98027(425) 391-0705(425) 391-9562 Get Directions Write a Review
About Keya Chisholm Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEYA CHISHOLM FNP-C (NPI 1083942114) is an individual family provider in Issaquah, Washington, licensed in Washington (AP60122496) and active in the NPI registry since December 2009.
NPPES Registry Identity
NPI1083942114
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKEYA CHISHOLMCredential: FNP-C
Location Address450 NW GILMAN BLVD, SUITE 201Issaquah, WA 98027-2483
Mailing Address450 Nw Gilman Blvd, Suite 201Issaquah, WA 98027-2483 · (425) 391-0705 · Fax (425) 391-9562
Phone(425) 391-0705
Fax(425) 391-9562
Sole ProprietorNo
Enumeration DateDecember 1, 2009
✔ NPI 1083942114 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WA · AP60122496
450 NW GILMAN BLVD, Issaquah, WA 98027
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083942114, enumerated as an "individual" on December 01, 2009.
The provider is located at 450 NW GILMAN BLVD SUITE 201 ISSAQUAH, WA 98027 and the phone number is (425) 391-0705.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
