Individual
MRS. JULIE SHAUN KOZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
656 E MONMOUTH ST, WINSTON SALEM, NC 27107-3227
(336) 718-4380
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5013051
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD000
UPIN
—
Enumeration date
01/09/2017
Last updated
10/26/2020
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