Provider Demographics
NPI:1265611263
Name:KIRGIS, SYLVIA LYNNE (APRN-BC)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:LYNNE
Last Name:KIRGIS
Suffix:
Gender:
Credentials:APRN-BC
Other - Prefix:
Other - First Name:SYLVIA
Other - Middle Name:LYNNE
Other - Last Name:CROUCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9412 UPTON RD
Mailing Address - Street 2:
Mailing Address - City:LAINGSBURG
Mailing Address - State:MI
Mailing Address - Zip Code:48848-9357
Mailing Address - Country:US
Mailing Address - Phone:517-282-8685
Mailing Address - Fax:
Practice Address - Street 1:405 W GREENLAWN AVE
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-2898
Practice Address - Country:US
Practice Address - Phone:517-483-4780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-26
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2332500363LA2100X
MI4704194363363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care