Individual
KYLE JAMES NORDSTROM
Active
Individual
KYLE JAMES NORDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, AGACNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704321425
MI
363LA2100X
Acute Care Nurse Practitioner
4704321425NSA2302O
MI
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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