# KATHRYN SISTERMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1942485891
- **Gender:** F
- **Credential:** DNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 161452 | AZ | — |
| 163W00000X | Registered Nurse | 4704244332 | MI | — |
| 163W00000X | Registered Nurse | 643423 | CA | — |
| 363LA2100X | Acute Care Nurse Practitioner | 7710 | AZ | — |
| 363LF0000X | Family Nurse Practitioner | 17433 | CA | — |
| 363LF0000X | Family Nurse Practitioner | 3577 | AZ | — |
| 363LG0600X | Gerontology Nurse Practitioner | 59073 | ID | Yes |

## Other

- **Enumeration date:** 01/09/2008
- **Last updated:** 08/23/2018