Individual provider · Type 1 NPI
Michaelene Catherine Koczara
Nurse Practitioner · Chesterfield, MI
Practice location
53183 Kakos Dr
Chesterfield, MI 48051-3941
Mailing address
26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 4704296738 (MI) |
| Nurse Practitioner Primary | 363L00000X | 4704296738 (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 1801459862
Michaelene Catherine Koczara's National Provider Identifier is 1801459862, issued on Apr 16, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Chesterfield, MI. The record was last updated on Nov 22, 2024.