Individual
MRS. MARY ELIZABETH KOCENDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 333-8308
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 333-8308
(313) 916-2819
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704244723
MI
Other
Enumeration date
01/28/2013
Last updated
03/30/2021
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