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NPI Code Detail

MEDICARE: ELIZABETH ASHLEY KOTENKO DNP, APRN, CNP

MEDICARE:   ELIZABETH ASHLEY KOTENKO  DNP, APRN, CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner0040853OH

General Provider Information

NPI Number : 1891556494
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ASHLEY KOTENKO DNP, APRN, CNP
Provider Business Mailing Address
First Line : 2132 STOKES BLVD UNIT 103
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-3005
Country : US
Telephone Number : 248-464-3746
Fax Number :
Provider Business Practice Location Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number : 248-464-3746
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2024
Last Update Date : 01/22/2026

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Directions to “ ELIZABETH ASHLEY KOTENKO DNP, APRN, CNP” Practice Location

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