Individual provider · Type 1 NPI

Kathleen M. Kissane, RN, CRNP, MSN

Nurse Practitioner · Frederick, MD

NPI number 1477546117 Active

Practice location

5500 Buckeystown Pike
Frederick, MD 21703-8331

Call (240) 379-6045 Map

Fax (240) 379-6050

Mailing address

PO Box 277045
Atlanta, GA 30384-7045

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XR089131 (MD)
Nurse Practitioner Primary 363L00000XR089131 (MD)

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 1477546117

Kathleen M. Kissane, RN, CRNP, MSN's National Provider Identifier is 1477546117, issued on Aug 29, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Frederick, MD. The record was last updated on May 17, 2011.