Sisco, Kryn L

Sisco, Kryn L is an individual health care provider with primary practice located at 812 E Jolly Rd Ste 216, Lansing MI 48910-6818. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Sisco, Kryn L can be contacted via phone (517) 346-9554.

Contact Information

Primary practice address
812 E Jolly Rd Ste 216 Lansing MI 48910-6818
Fax: (517) 346-8291
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4704152662 Michigan

Profile Details

NPI number 1245296326
LBN Legal business name Sisco, Kryn L
Credentials PMHNP-BC, MPA,BSN RN
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jan 24th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245296326 NPPES
Michigan MEDICAID 1245296326

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