Individual provider · Type 1 NPI

Theresa Ann Kisscorni

Home Health Registered Nurse · Grandville, MI

NPI number 1730710203 Active

Practice location

3097 Prairie St SW
Grandville, MI 49418-2000

Call (616) 531-9973 Map

Mailing address

290 Suncrest Ct SW
Grandville, MI 49418-3211

Specialties and licenses

TaxonomyCodeLicense
Home Health Registered Nurse Primary 163WH0200X4704273648 (MI)

Home Health Registered Nurse: Definition to come...

46 other providers at this address

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About NPI 1730710203

Theresa Ann Kisscorni's National Provider Identifier is 1730710203, issued on Feb 3, 2020. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Grandville, MI. The record was last updated on Feb 3, 2020.