PETRA HOLKA (NPI# 1790164176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790164176 |
| Entity Type | Individual |
| Full Name | PETRA HOLKA |
| Credential | NURSE PRACTITIONER |
| Practice Address |
11800 E 12 Mile Rd Warren MI 48093-3472 |
| Mailing Address |
44666 Georgia Ct Clinton Township MI 48038-1072 |
| Practice Telephone | 5865735000 |
| Mailing Telephone | 2488951101 |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2015-05-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704201730 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11800 E 12 MILE RD |
| City | WARREN |
| State | MI |
| Zip Code | 48093-3472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740280940 | Manisha Kaur Bajwa | Pharmacist | 11800 E 12 Mile Rd, Pharmacy Department, Warren, MI 48093-3472 | 2005-07-28 |
| 1679181986 | Roxana Lionte | Nurse Practitioner | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2020-07-22 |
| 1649893355 | Patrick Yang | Student in an Organized Health Care Education/Training Program | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2020-05-28 |
| 1831711936 | Elisheva Ellenberg | Nurse Practitioner | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2020-05-12 |
| 1427686716 | Pavan Kumar Ravipati | Student in an Organized Health Care Education/Training Program | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2020-03-31 |
| 1962038885 | Natasha Mehta | Student in an Organized Health Care Education/Training Program | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2020-03-23 |
| 1194350645 | Katherine Sara Streidl | Nurse Anesthetist, Certified Registered | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2020-03-05 |
| 1891326898 | Clara Poparad-stezar | Student in an Organized Health Care Education/Training Program | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2020-01-28 |
| 1023653797 | Lauren Ashley Shailor | Nurse Practitioner | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2019-11-16 |
| 1700428984 | Olivia Lynn Hedman | Dietitian, Registered | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2019-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
| 1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
| 1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
| 1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
| 1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
| 1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
| 1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
| 1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
| 1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
| 1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
| Find all providers in zip 48093 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932737731 | Dominick Lawrence Flarey | Nurse Practitioner | 2400 Niles Cortland Rd Se Ste 4, Warren, OH 44484-3869 | 2020-03-29 |
| 1598813727 | Catherine Luk | Nurse Practitioner | 9 Jennifer Ln, Warren, NJ 07059-6913 | 2007-01-05 |
| 1124492723 | Danielle Hurst | Nurse Practitioner | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2015-11-19 |
| 1932502705 | Kristin Elaine Boyd | Nurse Practitioner | 2760 Parkman Rd Nw, Warren, OH 44485-1635 | 2014-10-07 |
| 1437572120 | Allyssa Bohanan | Nurse Practitioner | 1934 Niles Cortland Rd Ne Ste B, Warren, OH 44484-1055 | 2014-01-30 |
| 1467706457 | Lisa A. White | Nurse Practitioner | 1615 N River Rd Ne, Warren, OH 44483-2437 | 2012-10-30 |
| 1972886950 | Donna Elaine Kaiser | Nurse Practitioner | 8600 E Market St, Suite 8, Warren, OH 44484-2375 | 2011-09-26 |
| 1871892760 | Sara Tandoc | Nurse Practitioner | 25600 Schoenherr Rd, Warren, MI 48089-1447 | 2011-03-18 |
| 1194058966 | Kathleen Jane Leigh-simms | Nurse Practitioner | 2 Crescent Park W, Warren, PA 16365 | 2009-09-11 |
| 1518081686 | Colleen Ann Mikula | Nurse Practitioner | 28800 Ryan Rd, Suite 320, Warren, MI 48092-4272 | 2007-03-16 |
| Find all providers in WARREN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.