Individual
MISS COURTNEY NICOLE KOZAKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1000
Mailing address
1587 HUNT CLUB DR, MILFORD, OH 45150-8743
(513) 502-8730
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
423350
OH
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
423350
OH
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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