Kotti, Michelle Marie

Kotti, Michelle Marie is an individual health care provider with primary practice located at 1120 15Th St , Augusta GA 30912-0004. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Kotti, Michelle Marie can be contacted via phone (706) 721-3813.

Contact Information

Primary practice address
1120 15Th St Augusta GA 30912-0004
Phone: (706) 721-3813
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R153337 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 1-188098 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024167334 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X GAA-NP001006 Georgia

Profile Details

NPI number 1306883269
LBN Legal business name Kotti, Michelle Marie
Credentials C.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Nov 28th, 2023 - about 3 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 1306883269 NPPES
Maryland MEDICAID 699515200

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