ELTIPRISE KOSOBUD-SOSSAMON APRN NPI 1629855796

NPI Information

  • NPI: 1629855796
  • Provider Name: ELTIPRISE KOSOBUD-SOSSAMON, APRN
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 208B RUTLEDGE AVENUE MSC 108
    CHARLESTON, SC
    ZIP 29425
  • Phone: (843) 792-3224

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NPI Details

Eltiprise Kosobud-sossamon, APRN is an adult health nurse practitioner in Charleston, SC with 3 years of experience. Eltiprise Kosobud-sossamon, APRN NPI is 1629855796. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:2023

The provider's business location address is:

208B RUTLEDGE AVENUE MSC 108
CHARLESTON, SC
ZIP 29425-001
Phone: (843) 792-3224

The NPI 1629855796 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/12/2023 and was last updated on 9/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult Health27898SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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