Provider Demographics
NPI:1720044969
Name:CHOJNACKI, KATHRYN A (CPNP)
Entity Type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:A
Last Name:CHOJNACKI
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4735 E UNION HILLS DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-3362
Mailing Address - Country:US
Mailing Address - Phone:602-971-5121
Mailing Address - Fax:602-971-3122
Practice Address - Street 1:4735 E UNION HILLS DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85050-3362
Practice Address - Country:US
Practice Address - Phone:602-971-5121
Practice Address - Fax:602-971-3122
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000160132363LP0200X
AZAP7296363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ929431OtherAHCCCS
MO427237201Medicaid
KS200310940AMedicaid
MOQ47973Medicare UPIN