Individual provider · Type 1 NPI

Kaitlyn Rose Kowalczyk, NP

Nurse Practitioner · Lansing, MI

NPI number 1255973236 Active

Practice location

3955 Patient Care Dr Ste A
Lansing, MI 48911-4271

Fax (855) 495-5457

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704310971 (MI)
Family Nurse Practitioner 363LF0000X4704310971 (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 1255973236

Kaitlyn Rose Kowalczyk, NP's National Provider Identifier is 1255973236, issued on Oct 11, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lansing, MI. The record was last updated on Oct 5, 2026.