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

Michaelene Catherine Koczara

Individual provider Emergency Registered Nurse · NPI 1801459862

Michaelene Catherine Koczara is an Emergency Registered Nurse in Chesterfield, Michigan. Licensed in Michigan. Registered with an NPI since 2019.

Licensed in
MI
In the registry since
2019
Specialties on file
2

Practice location Address checks out

53183 Kakos Dr
Chesterfield, MI 48051-3941
Phone: (586) 646-5440
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704296738 (MI)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 4704296738 (MI)

Record details

NPI number1801459862
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 16, 2019
Last updated in NPPESNovember 22, 2024
Certification dateNovember 22, 2024
Mailing address26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849