Individual
LISA G COZZARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
90 SOUTHSIDE AVE, SUITE 350, ASHEVILLE, NC 28801-4160
(828) 277-4810
Mailing address
90 SOUTHSIDE AVE, SUITE 350, ASHEVILLE, NC 28801-4160
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
200797
NC
363LF0000X
Family Nurse Practitioner
Primary
200797
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16626
BCBSNC
NC
05
—
7000787
—
NC
Enumeration date
06/02/2006
Last updated
12/07/2016
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