Individual provider · Type 1 NPI
Courtney Kotewa
Nurse Practitioner · Cerritos, CA
Practice location
12900 Park Plaza Drive, Suite 150
Cerritos, CA 90703
Mailing address
2552 Hall St SE
Grand Rapids, MI 49506-3568
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 4704270430 (MI) |
| Nurse Practitioner Primary | 363L00000X | 4704270430 (MI) |
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 1245823962
Courtney Kotewa's National Provider Identifier is 1245823962, issued on Feb 13, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Cerritos, CA. The record was last updated on Apr 26, 2023.