Individual
ELIZABETH ASHLEY KOTENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, CNP
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(248) 464-3746
Mailing address
2132 STOKES BLVD UNIT 103, CLEVELAND, OH 44106-3005
(248) 464-3746
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0040853
OH
363LP2300X
Primary Care Nurse Practitioner
Primary
4704262821
MI
Other
Enumeration date
01/22/2024
Last updated
01/22/2026
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