Individual
AMAYA JENN KOZUSKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, FNP-C
Contact information
Practice address
302 HUSSON AVE STE 2, BANGOR, ME 04401-3373
(207) 941-2373
Mailing address
310 PARSONS DR APT 403, CHARLOTTESVILLE, VA 22901-3224
(781) 492-9136
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP241106
ME
Other
Enumeration date
04/20/2024
Last updated
04/22/2024
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