Mahilet Sisay

NURSE PRACTITIONER

5320 W 23rd St

Suite 130

St Louis Park, MN 554161670

(952) 345-3213

**NPI:** 1609205707

**Med School:** OTHER

**Experience:** 3 years

**Telehealth:** No

**Medicare Assignment:** Yes

Practice Locations (1)

LIFESPARK MEDICAL GROUP PA

5320 W 23rd St, Suite 130
St Louis Park, MN 554161670

Phone: (952) 345-3213

**Group ID:** 4385908201 | **Group Size:** 20 members

ABBOTT NORTHWESTERN HOSPITAL Type: Hospital
800 EAST 28TH STREET
Phone: (612) 863-4000
Medicare CCN: 240057 View Profile

M HEALTH FAIRVIEW UNIVERSITY OF MN Type: Hospital
2450 RIVERSIDE AVENUE
Phone: (612) 624-1765
Medicare CCN: 240080 View Profile

Home health agency Type: Home health agency
Medicare CCN: 248118 View Profile

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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