Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathryn Irene Idzikowski, FNP

Individual provider Family Nurse Practitioner · NPI 1578004941

Kathryn Irene Idzikowski, FNP is a Nurse Practitioner in Warren, Michigan. Qualified in 2016, 10 years ago. Practices with Blue Water Urgent Care PLLC, a 28-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2017
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

11800 E 12 Mile Rd
Warren, MI 48093
Phone: (586) 573-5059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704280994 (MI)

Record details

NPI number1578004941
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedMarch 17, 2017
Last updated in NPPESJuly 19, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Blue Water Urgent Care Pllc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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