Individual
KRISTEN KAY MASSINGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C, PMHNP-BC
Contact information
Practice address
2111 WOODWARD AVE, DETROIT, MI 48201-3421
(313) 546-0900
Mailing address
238 EVANS GLEN TRL, TIPTON, MI 49287-9724
(517) 260-2759
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
312084
NY
363LA2200X
Adult Health Nurse Practitioner
4704299129
MI
363LA2200X
Adult Health Nurse Practitioner
APRN.CNP.0028580
OH
363LA2200X
Adult Health Nurse Practitioner
APRN11035139
FL
363LA2200X
Adult Health Nurse Practitioner
C-APN.0104493-C-NP
CO
363LA2200X
Adult Health Nurse Practitioner
RN333246
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
26NJ15314800
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
406783
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704299129
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN.CNP.0028580
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN11035139
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
C-APN.0104493-C-NP
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN333246
GA
Other
Enumeration date
03/24/2021
Last updated
03/02/2026
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