# MS. GRACE MIKHAILA KOZIK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1396243762
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | RN2314177 | MA | — |
| 363LF0000X | Family Nurse Practitioner | 101.0134241 | VT | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 076421-23 | NH | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 101.0134241 | VT | Yes |

## Other

- **Enumeration date:** 01/31/2018
- **Last updated:** 07/19/2021