Individual
CHRISTINE MARIE SISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1500 E MEDICAL CENTER DR, 8TH FLOOR CS MOTT CHILDRENS HOSPITAL, ANN ARBOR, MI 48109-4259
(734) 936-4185
Mailing address
3621 S STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704192397
MI
363LP0200X
Pediatric Nurse Practitioner
4704192397
MI
Other
Enumeration date
09/30/2009
Last updated
08/26/2013
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