Individual provider · Type 1 NPI

Kristie Koczenasz, APRN, BC

Nurse Practitioner · Clarkston, MI

NPI number 1639242597 Active

Practice location

5701 Bow Pointe Dr, Suite 280
Clarkston, MI 48346-3198

Fax (248) 922-6831

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704230739 (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 1639242597

Kristie Koczenasz, APRN, BC's National Provider Identifier is 1639242597, issued on Nov 16, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Clarkston, MI. The record was last updated on Aug 30, 2010.