Provider Demographics
NPI:1912359936
Name:KERSCHEN, MARTINA (NP-C)
Entity Type:Individual
Prefix:
First Name:MARTINA
Middle Name:
Last Name:KERSCHEN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 CALHOUN ST
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49017-3806
Mailing Address - Country:US
Mailing Address - Phone:269-967-6132
Mailing Address - Fax:
Practice Address - Street 1:535 S BURDICK ST STE 160
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49007-6113
Practice Address - Country:US
Practice Address - Phone:269-388-5864
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-01
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704278914363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner