Individual
MRS. PAULA MARIE KASUBOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
14520 W GRANITE VALLEY DR STE 120, SUN CITY WEST, AZ 85375-5855
(866) 974-2673
(866) 939-2673
Mailing address
18444 N 25TH AVE STE 310, PHOENIX, AZ 85023-1266
(866) 974-2673
(866) 939-2673
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
315752
AZ
363L00000X
Nurse Practitioner
3682
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002763
—
WI
01
—
110643
WISCONSIN LICENSE NUMBER
WI
01
—
368233
NP LICENSE NUMBER
WI
Enumeration date
02/18/2009
Last updated
10/03/2025
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