Individual
CAROL A KOZIOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7500 MERCY RD STE 1355, OMAHA, NE 68124-2319
(402) 717-4866
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
101562
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
77346
CO
367500000X
Certified Registered Nurse Anesthetist
D158410
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07773468
—
CO
Enumeration date
07/04/2006
Last updated
04/14/2020
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