Healthcare Provider Details

I. General information

NPI: 1265611263
Provider Name (Legal Business Name): SYLVIA LYNNE KIRGIS APRN-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SYLVIA LYNNE CROUCH

II. Dates (important events)

Enumeration Date: 10/26/2007
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 W GREENLAWN AVE
LANSING MI
48910-2898
US

IV. Provider business mailing address

9412 UPTON RD
LAINGSBURG MI
48848-9357
US

V. Phone/Fax

Practice location:
  • Phone: 517-483-4780
  • Fax:
Mailing address:
  • Phone: 517-282-8685
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberRN2332500
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number4704194363
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: