Individual
DR. DANIELLE M KOZAK JOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
951 MARINERS ISLAND BLVD STE 300, SAN MATEO, CA 94404-1560
(650) 285-6927
(888) 352-7383
Mailing address
951 MARINERS ISLAND BLVD STE 300, SAN MATEO, CA 94404-1560
(772) 217-4557
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5908-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538578059
—
WI
Enumeration date
08/08/2014
Last updated
04/07/2022
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