Individual provider · Type 1 NPI

Ingrid Kwak, FNP

Nurse Practitioner · St. Joseph, MI

NPI number 1326764317 Active

Practice location

3950 Hollywood Rd Ste 110
St. Joseph, MI 49085-9151

Call (269) 985-1000 Map

Fax (269) 983-3181

Other practice locations

  • 31 N Saint Joseph Ave, Niles, MI 49120-2207 · (677) 726-9684

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X4704315366 (MI)
Nurse Practitioner Primary 363L00000X4704315366 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1326764317

Ingrid Kwak, FNP's National Provider Identifier is 1326764317, issued on Oct 12, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Joseph, MI. The record was last updated on Aug 15, 2023.