NICOLE KOZAK RN CPNP-AC NPI 1740359512

NPI Information

NPI: 1740359512
Provider Name: NICOLE KOZAK, RN, CPNP-AC
Classification: Nurse Practitioner - 363LP0222X
Entity Type: Individual

Specialization: Pediatrics, Critical Care

PECOS Registration: Yes

Address:
7777 FOREST LN
SUITE B-246
DALLAS, TX
ZIP 75230
Phone: (972) 566-7730
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Nicole Kozak, RN, CPNP-AC is a pediatrics and critical care nurse practitioner in Dallas, TX. Nicole Kozak, RN, CPNP-AC NPI is 1740359512. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7777 FOREST LN
SUITE B-246
DALLAS, TX
ZIP 75230-571
Phone: (972) 566-7730

The NPI 1740359512 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 1/9/2015.

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
1	163W00000X	Registered Nurse		734058	TEXAS	No
2	363LP0222X	Nurse Practitioner	Pediatrics, Critical Care	734058	TEXAS	Yes

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: 11/14/2023

NPI Synchronization or Removal

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