Individual
ISABEL MISA KOZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
(602) 200-6028
Mailing address
19407 N 36TH PL, PHOENIX, AZ 85050-3901
(602) 996-1043
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP1635
AZ
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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