Individual
HEATHER KOZUBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
956 ASBURY AVE FL 2, OCEAN CITY, NJ 08226-3536
(609) 318-4922
Mailing address
956 ASBURY AVE FL 2, OCEAN CITY, NJ 08226-3536
(609) 318-4922
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00892300
NJ
Other
Enumeration date
01/08/2019
Last updated
02/04/2022
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