MEDICARE: BARBARA J SITSCH NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	101-0086545	VT
2	363LF0000X	Family Nurse Practitioner	AP60687619	WA
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP60687619	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275897043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA J SITSCH NP

Provider Business Mailing Address
First Line	:	7100 FORT DENT WAY, STE 220
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98188
Country	:	US
Telephone Number	:	206-708-7274
Fax Number	:	802-748-4098

Provider Business Practice Location Address
First Line	:	7100 FORT DENT WAY, STE 220
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98188
Country	:	US
Telephone Number	:	206-708-7274
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2012
Last Update Date	:	08/16/2022

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