Provider Demographics
NPI:1497112981
Name:EHRKE, KAITLYN (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:KAITLYN
Middle Name:
Last Name:EHRKE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MS
Other - First Name:KAITLYN
Other - Middle Name:
Other - Last Name:YESTREPSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:750 BOX CANYON CT
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48309-2326
Mailing Address - Country:US
Mailing Address - Phone:248-212-7142
Mailing Address - Fax:
Practice Address - Street 1:44201 DEQUINDRE RD
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48085-1117
Practice Address - Country:US
Practice Address - Phone:248-964-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-28
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704278859367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered