Individual
RENATA KOZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
50 GRISWOLD ST, NEW BRITAIN, CT 06050
(860) 224-5267
(860) 224-5752
Mailing address
88 HUNTINGRIDGE DR, SOUTH GLASTONBURY, CT 06073
(860) 633-5991
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
002026
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2190118
CIGNA
—
Enumeration date
06/17/2006
Last updated
07/08/2007
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