Individual
CHRISTIE KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704414449
MI
363LF0000X
Family Nurse Practitioner
347772
NY
363LF0000X
Family Nurse Practitioner
APRN.CNP.0032916
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0020652
—
OH
Enumeration date
07/29/2021
Last updated
09/30/2024
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