Maria Kottke
Nurse Practitioner - Psychiatric/Mental Health
3222 Eden Trl
Brighton
, Michigan 48114
Maria Kottke
Nurse Practitioner - Psychiatric/Mental Health
3222 Eden Trl
Brighton
, Michigan 48114
(810) 623-1226
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Maria Kottke
- 3222 Eden Trl
- Brighton, MI
- Zip : 48114-9185
- Phone : (810) 623-1226
Second Address
- Maria Kottke
- 3222 Eden Trl
- Brighton, MI
- Zip : 48114
- Phone : (810) 623-1226
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 4704164862 | MI |
National Provider Identifier
| NPI | 1033544945 |
|---|---|
| Provider Name | Maria Kottke |
| First Address | Brighton, MI 48114-9185 |
| Second Address | Brighton, MI 48114 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/09/2013 |
| Last Update Date | 10/09/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4704164862 | NONE (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.