Healthcare Provider Details

I. General information

NPI: 1609846252
Provider Name (Legal Business Name): KRISTI L FIFELSKI MSN RN CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTI L ARNDT MSN RN CPNP

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 11/13/2020
Certification Date: 11/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5629 STADIUM DR SUITE A
KALAMAZOO MI
49009-1952
US

IV. Provider business mailing address

5629 STADIUM DR SUITE A
KALAMAZOO MI
49009-1952
US

V. Phone/Fax

Practice location:
  • Phone: 262-372-1000
  • Fax: 269-372-0698
Mailing address:
  • Phone: 269-372-1000
  • Fax: 269-372-0698

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number4704236204
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: