Individual provider · Type 1 NPI

Courtney Kiseda

Nurse Practitioner · Shelby Township, MI

NPI number 1982224465 Active

Practice location

50505 Schoenherr Rd Ste 270
Shelby Township, MI 48315-3141

Call (586) 323-6058 Map

Fax (586) 500-8865

Other practice locations

  • 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 · (734) 936-4000

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704307202 (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…

10 other providers at this address

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About NPI 1982224465

Courtney Kiseda's National Provider Identifier is 1982224465, issued on Apr 24, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Shelby Township, MI. The record was last updated on Aug 28, 2026.