Individual
NICHOLE KOZOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1223 CENTER ST STE 22, DES MOINES, IA 50309-1016
(515) 218-6125
Mailing address
4869 63RD ST, URBANDALE, IA 50322-8057
(515) 577-8024
(515) 265-0845
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P37231
IA
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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