Individual provider · Type 1 NPI
Cheryl A. Sisco, NP
Adult Health Nurse Practitioner · Grand Rapids, MI
NPI number
1831416478
Active
Practice location
200 Jefferson Ave.
Grand Rapids, MI 49503
Fax (616) 685-5260
Mailing address
245 State St SE, Ste 221
Grand Rapids, MI 49503
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 4704128012 (MI) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1831416478
Cheryl A. Sisco, NP's National Provider Identifier is 1831416478, issued on Apr 21, 2010. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 23, 2010.