MRS. ELIZABETH ABRAHAM KOYITHOT


Address: 1 Ford Pl, Henry Ford Hospital, Detroit, MI 48202-3450
Phone: 3138744688

MRS. ELIZABETH ABRAHAM KOYITHOT (NPI# 1659665370) 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) 1659665370
Entity Type Individual
Full Name MRS. ELIZABETH ABRAHAM KOYITHOT
Credential RN, PMHNP
Practice Address 1 Ford Pl
Henry Ford Hospital
Detroit
MI 48202-3450
Mailing Address 2329 Longfellow
Windsor
ONTARIO N9B3J7
CA
Practice Telephone 3138744688
Mailing Telephone 5199679014
Enumeration Date 2011-05-31
Last Update Date 2014-11-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WG0000X Registered Nurse
Specialization: General Practice
4704258693 MI Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
4704258693 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1 FORD PL
HENRY FORD HOSPITAL
City DETROIT
State MI
Zip Code 48202-3450

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447241229 Mary Hicks Nurse Practitioner 1 Ford Pl, Detroit, MI 48202 2005-11-02
1548870769 Robert Devore Nurse Practitioner 1 Ford Pl, Detroit, MI 48202-3450 2020-08-03
1740831668 Sarah Anna Moore Social Worker 1 Ford Pl, Detroit, MI 48202-3450 2019-09-23
1043863897 Bethany Thayer Dietitian, Registered 1 Ford Pl, Detroit, MI 48202-3450 2019-07-22
1609380328 Tanesha Lowery Nurse Practitioner 1 Ford Pl, Detroit, MI 48202-3450 2017-11-17
1972012904 Alaina Grace Esposito Social Worker 1 Ford Pl, Detroit, MI 48202-3450 2017-09-21
1780107029 Kellie Martens Psychologist 1 Ford Pl, Detroit, MI 48202-3450 2017-07-19
1164956538 Shaelyn Nicole Gurzick Dietitian, Registered 1 Ford Pl, Suite 5c, Detroit, MI 48202-3450 2017-04-12
1093251878 Chinwe Obioha Nurse Practitioner 1 Ford Pl, Detroit, MI 48202-3450 2017-01-17
1881142115 Ivory Villanueva Fulgencio Nurse Anesthetist, Certified Registered 1 Ford Pl, Ste 2e, Detroit, MI 48202-3450 2016-09-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710584602 Andrea Irene Martin Audiologist 2799 E Grand Blvd, Detroit, MI 48202 2020-10-05
1174132583 Odei Alayyas Student in an Organized Health Care Education/Training Program 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 2020-07-31
1912529801 Aroob Nabil Nimer Sweidan Student in an Organized Health Care Education/Training Program 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 2020-05-13
1306485636 Katie Burlen-davis Registered Nurse 9045 Woodward Ave, Detroit, MI 48202 2020-01-03
1407401250 Santhalakshmi Angappan Student in an Organized Health Care Education/Training Program Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 2019-08-08
1851945687 Walter Mitini Etoh Nurse Practitioner Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 2019-07-30
1467913756 Andrew Michael Schock Emergency Medicine Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 2019-03-28
1700363892 Zaid Al-saheli Student in an Organized Health Care Education/Training Program 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 2018-07-23
1932690096 Yusuf Naser Alalwan Student in an Organized Health Care Education/Training Program 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 2018-05-24
1568952729 Kelvin Sellers Massage Therapist 832 Seward, Detriot, MI 48202 2018-05-14
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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...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790293488 Infinity Hope Center LLC Nurse Practitioner 260 Vinewood St Ste 100a8919, Detroit, MI 48216-1667 2018-01-16
1033659644 Anne Zamler Nurse Practitioner 14230 W Mcnichols Rd, Detroit, MI 48235-3912 2017-03-01
1821180274 Carla J Groh Nurse Practitioner 5555 Conner, Suite 2691, Detroit, MI 48213 2006-09-29
1124054408 Patricia Frances Yourchock Orr Nurse Practitioner 4464 Burton St, Upper Unit, Detroit, MI 48210-2402 2006-06-25
1720619091 Sunshine Mental Health Care Nurse Practitioner 12871 E Jefferson Ave, Detroit, MI 48215-2754 2020-01-27
1720621535 Rebecca Anne Hibbs Nurse Practitioner 22101 Moross Rd, Detroit, MI 48236-2148 2019-10-24
1659895134 Infinity Hope Center Nurse Practitioner 277 Gratiot Ave Ste 100a8919, Detroit, MI 48226-2239 2017-07-27
1942685607 Eddia Marie Mcdade Nurse Practitioner 10 Peterboro St, Detroit, MI 48201-2722 2015-07-23
1043698475 Karen Ann Wezner Nurse Practitioner 2799 W Grand Blvd, Detroit, MI 48202-2608 2015-05-18
1285023226 Lauren Krist Nurse Practitioner 22151 Moross Rd, Detroit, MI 48236-2167 2015-01-14
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Competitor

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City DETROIT
Zip Code 48202

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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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