Individual provider · Type 1 NPI

Miles Garth Kotchevar, NP

Nurse Practitioner · Stanford, CA

NPI number 1114576774 Active

Practice location

300 Pasteur Dr
Stanford, CA 94305-2200

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X95011978 (CA)
Nurse Practitioner Primary 363L00000X95011978 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1114576774

Miles Garth Kotchevar, NP's National Provider Identifier is 1114576774, issued on Sep 6, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Stanford, CA. The record was last updated on Dec 30, 2025.