Kokoszka, Andria K

Kokoszka, Andria K is an individual health care provider with primary practice located at 301 Hawthorne Ln Suite 100, Charlotte NC 28204-2450. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Kokoszka, Andria K can be contacted via phone (704) 384-1900.

Contact Information

Primary practice address
301 Hawthorne Ln Suite 100 Charlotte NC 28204-2450
Phone: (704) 384-1900
Fax: (704) 384-1919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 005002307 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 502307 North Carolina

Profile Details

NPI number 1225136120
LBN Legal business name Kokoszka, Andria K
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Oct 28th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225136120 NPPES
North Carolina MEDICAID 7005290

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