Individual
JULIE NICOLE KOSATSCHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2404 WISE RD, CONWAY, SC 29526-5521
(843) 365-8884
(843) 365-6685
Mailing address
436 WILLIAM NOBLES RD, AYNOR, SC 29511-2803
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26872
SC
Other
Enumeration date
01/16/2023
Last updated
12/01/2023
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