Individual
KATHRYN MARIE HISSONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACAGNP-BC
Contact information
Practice address
1221 SIXTH ST STE 300, TRAVERSE CITY, MI 49684-2360
(231) 935-3263
Mailing address
2980 ARBORVITAE DR APT 2, TRAVERSE CITY, MI 49685-6706
(810) 869-1754
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704278432
MI
Other
Enumeration date
02/04/2025
Last updated
10/22/2025
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