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

Theresa Ann Kisscorni

Individual provider Home Health Registered Nurse · NPI 1730710203

Theresa Ann Kisscorni is a Home Health Registered Nurse in Grandville, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2020

Practice location Address checks out

3097 Prairie St SW
Grandville, MI 49418-2000
Phone: (616) 531-9973
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Registered Nurse (primary) Taxonomy 163WH0200X · Licence 4704273648 (MI)

Record details

NPI number1730710203
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 3, 2020
Last updated in NPPESFebruary 3, 2020
Certification dateFebruary 3, 2020

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