Individual provider · Type 1 NPI

Susan Lynn Hiestand, FNP

Nurse Practitioner · St. Joseph, MI

NPI number 1366071268 Active

Practice location

4025 Health Park Ln
St. Joseph, MI 49085-3421

Call (269) 429-7100 Map

Fax (269) 429-1959

Mailing address

4368 Cleveland Ave
Stevensville, MI 49127-9595

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704290955 (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 1366071268

Susan Lynn Hiestand, FNP's National Provider Identifier is 1366071268, issued on Apr 3, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Joseph, MI. The record was last updated on May 28, 2020.