Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sherwin Guimalan Hisona

Individual provider Nurse Practitioner · NPI 1235726399

Sherwin Guimalan Hisona is a Nurse Practitioner in Southgate, Michigan. Qualified in 2020, 6 years ago. Practices with Mandl Quality of Life PLC, an 11-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2020
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Practice location Address checks out

15305 Oakleigh
Southgate, MI 48195-8532
Phone: (173) 428-7213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704246725 (MI)

Record details

NPI number1235726399
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 23, 2020
Last updated in NPPESJune 16, 2021
Certification dateMay 28, 2021
Mailing address15305 Oakleigh, Southgate, MI 48195-8532

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mandl Quality Of Life Plc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Southgate