Individual
MS. TRACY KOSEDNAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
11905 W COCOPAH CIR, AVONDALE, AZ 85323-6292
(623) 478-6295
Mailing address
11905 W COCOPAH CIR, AVONDALE, AZ 85323-6292
(623) 478-6295
Taxonomy
Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
RN100219
AZ
163WH0200X
Home Health Registered Nurse
RN100219
AZ
163WS0200X
School Registered Nurse
Primary
RN100219
AZ
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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