Individual provider · Type 1 NPI
Avanna Paige Kotlarz, FNP-BC
Family Nurse Practitioner · New York, NY
NPI number
1780304691
Active
Practice location
161 Fort Washington Ave
New York, NY 10032-3729
Mailing address
630 W 168th St # 4
New York, NY 10032-3725
Other practice locations
- 1965 Broadway Apt 17C, New York, NY 10023-5977 · (847) 702-9270
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F350098-01 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | F350098 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1780304691
Avanna Paige Kotlarz, FNP-BC's National Provider Identifier is 1780304691, issued on Aug 31, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New York, NY. The record was last updated on Feb 4, 2025.