KYLIE PETZAK RN
NPI 1407317944
Registered Nurse in Ludington, MI

Active since March 27, 2019
920 DIANA ST, LUDINGTON, MI 49431(231) 845-6294(231) 845-7095 Get Directions Write a Review

NPPES record last updated: March 27, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kylie Petzak Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLIE PETZAK RN (NPI 1407317944) is an individual registered nurse in Ludington, Michigan, licensed in Michigan (4704342180) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1407317944
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameKYLIE PETZAKCredential: RN
Location Address920 DIANA STLudington, MI 49431-1987
Mailing Address920 Diana StLudington, MI 49431-1987 · (231) 845-6294 · Fax (231) 845-7095
Fax(231) 845-7095
Sole ProprietorNo
Enumeration DateMarch 27, 2019
NPI 1407317944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License Licensed in MI · 4704342180
Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

920 DIANA ST, Ludington, MI 49431

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
920 DIANA ST
LUDINGTON, MI 49431
Registered Nurse (Psychiatric/Mental Health)
920 DIANA ST
LUDINGTON, MI 49431
Social Worker (Clinical)
920 DIANA ST
LUDINGTON, MI 49431
Social Worker (Clinical)
920 DIANA ST
LUDINGTON, MI 49431
Psychologist
920 DIANA ST
LUDINGTON, MI 49431
Psychologist
920 DIANA ST
LUDINGTON, MI 49431
Registered Nurse (Community Health)
920 DIANA ST
LUDINGTON, MI 49431
Social Worker
920 DIANA ST
LUDINGTON, MI 49431

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407317944, enumerated as an "individual" on March 27, 2019.

The provider is located at 920 DIANA ST LUDINGTON, MI 49431 and the phone number is (231) 845-6294.

Registered Nurse with taxonomy code 163W00000X.