MARIA KOTTKE


Address: 3222 Eden Trl, Brighton, MI 48114
Phone: 8106231226

MARIA KOTTKE (NPI# 1033544945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033544945
Entity Type Individual
Full Name MARIA KOTTKE
Credential FPMHNP-BC
Practice Address 3222 Eden Trl
Brighton
MI 48114
Mailing Address 3222 Eden Trl
Brighton
MI 48114-9185
Practice Telephone 8106231226
Mailing Telephone 8106231226
Enumeration Date 2013-09-10
Last Update Date 2013-09-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
4704164862 MI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI NONE 4704164862 01

Office Location

Street Address 3222 EDEN TRL
City BRIGHTON
State MI
Zip Code 48114

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386114866 Key Development Center, Inc. Counselor 2060 Grand River Annex Suite 600, Brighton, MI 48114 2018-11-28
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1205370855 Samantha Hawley Contractor 73 Perch Street, Brighton, MI 48114 2016-12-15
1164883633 Kathryn Degrande Lankton Family Medicine 7575 Grand River Ste 210, Brighton, MI 48114 2016-03-11
1992110241 Bryant Castelein Podiatrist 7990 Grand River Rd Ste D, Brighton, MI 48114 2014-06-25
1720380462 Kami Erin Bartholomew Physical Therapy Assistant 744 Grand River, Brighton, MI 48114 2010-12-01
1467779223 Amy Hund Psychologist 10031 Spencer Rd, Brighton, MI 48114 2010-05-03
1851529978 Mark Brian Mcintee Physician Assistant 7575 W. Grand River, Brighton, MI 48114 2009-06-26
1982865432 Disha Kinra Dentist 7743 Grand River Ave Ste 202, Great Expressions Dental Centers, Brighton, MI 48114 2008-06-18
1093975567 Stacie Michelle Griffin Family Medicine 524 Byron Rd., Brighton, MI 48114 2008-06-09
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City BRIGHTON
Zip Code 48114

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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