Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristie Koczenasz, APRN, BC

Individual provider Nurse Practitioner · NPI 1639242597

Kristie Koczenasz, APRN, BC is a Nurse Practitioner in Clarkston, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
BC — Board Certified
Appended to another credential to show current board certification, as in APRN-BC.

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Practice location Address checks out

5701 Bow Pointe Dr Ste 280
Clarkston, MI 48346-3198
Phone: (248) 922-6833
Fax: (248) 922-6831
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704230739 (MI)

Record details

NPI number1639242597
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , BC
Sole proprietorNo
NPI enumeratedNovember 16, 2006
Last updated in NPPESAugust 30, 2010

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