- Practice location
- 17190 Lennane, Redford, MI 48240-2130
- Phone
- 313-704-2954
- Fax
- —
- Last updated
- May 19, 2026
Kristen Marie Dessouki is a Nurse Practitioner based in Redford, MI. Kristen Marie Dessouki practices in Redford, MI and has the professional credentials of NP. The NPI Number for Kristen Marie Dessouki is 1700508512 and holds a License No. 4704276440 (MI). The current practice location address for Kristen Marie Dessouki is 17190 Lennane, Redford, MI 48240-2130 and can be reached out via phone at 313-704-2954.
Provider Profile Details
- NPI Number
- 1700508512
- Provider Name
- Kristen Marie Dessouki
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 17190 Lennane, Redford, MI 48240-2130
- Phone Number
- 313-704-2954
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 19, 2022
- Last Update Date
- May 19, 2026
- Certification Date
- May 19, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 17190 Lennane
Redford, MI 48240-2130 - City
- Redford
- State
- Michigan
- Zip
- 48240-2130
- Phone Number
- 313-704-2954
Provider Business Mailing Address Details
- Address
- Po Box 18998
Belfast, ME 04915-4084 - City
- Belfast
- State
- ME
- Zip
- 04915-4084
- Phone Number
- 469-803-3000
License Information
- License Number
- 4704276440
- License State
- MI
- Taxonomy
- Nurse Practitioner · 363L00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioners near Redford, MI
View all Nurse Practitioners in Redford →Frequently Asked Questions
What is the NPI number of Kristen M Dessouki, NP?
The NPI number of Kristen M Dessouki, NP is 1700508512. It was assigned on September 19, 2022 and is currently active in the NPPES registry.
What is the specialty of Kristen M Dessouki, NP?
Kristen M Dessouki, NP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MI under license number 4704276440.
Where does Kristen M Dessouki, NP practice?
The practice location is 17190 Lennane, Redford, MI 48240-2130. The office can be reached at 313-704-2954 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700508512 directly on the NPPES registry website.