Individual
NICOLE KOZAK VU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CPNP-AC
Contact information
Practice address
7777 FOREST LN STE C300J, DALLAS, TX 75230-2604
(972) 566-2043
(972) 566-7437
Mailing address
7777 FOREST LN STE C300J, DALLAS, TX 75230-2604
(972) 566-2043
(972) 566-7437
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
734058
TX
363L00000X
Nurse Practitioner
AP115114
TX
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
AP115114
TX
Other
Enumeration date
11/07/2006
Last updated
07/25/2024
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