ELIZABETH ASHLEY KOTENKO DNP AGPCNP NPI 1891556494

NPI Information

NPI: 1891556494
Provider Name: ELIZABETH ASHLEY KOTENKO, DNP, AGPCNP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Address:
46457 PEACH GROVE AVE
MACOMB, MI
ZIP 48044
Phone: (248) 464-3746
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Elizabeth Ashley Kotenko, DNP, AGPCNP is a primary care nurse practitioner in Macomb, MI. Elizabeth Ashley Kotenko, DNP, AGPCNP NPI is 1891556494. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

46457 PEACH GROVE AVE
MACOMB, MI
ZIP 48044-603
Phone: (248) 464-3746

The enumeration date for this NPI number is 1/22/2024 and was last updated on 1/22/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	4704262821	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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