Individual provider · Type 1 NPI

Jane Alison Kotarski, CNP

Gerontology Nurse Practitioner · Grand Rapids, MI

NPI number 1922046374 Active

Practice location

330 Barclay Ave NE, Suite 200
Grand Rapids, MI 49503-2556

Fax (616) 391-2840

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X4704118432 (MI)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1922046374

Jane Alison Kotarski, CNP's National Provider Identifier is 1922046374, issued on Jun 4, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 7, 2022.