Nicole Diane Kozak in Plattsmouth - Licensed Practical Nurse
Nicole Diane Kozak - NPI 1033315684
Nicole Diane Kozak is a Licensed Practical Nurse in Plattsmouth, Nebraska. Nicole Diane Kozak practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Nicole Diane Kozak is 1033315684. The last update date is 2007-07-08.
Nicole Diane Kozak's current location address is 1904 Lincoln Ave Trlr 33, Plattsmouth, Nebraska. You can contact this provider via phone number 4022960669. The mailing address for Nicole Diane Kozak is 1904 Lincoln Ave Trlr 33, Plattsmouth, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicole Diane Kozak |
|---|---|
| Address | 1904 Lincoln Ave Trlr 33, Plattsmouth, Nebraska |
| Phone Number | 4022960669 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1033315684 |
|---|---|
| Provider Enumeration Date | 2007-06-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1904 Lincoln Ave Trlr 33 |
|---|---|
| City | Plattsmouth |
| State | Nebraska (NE) |
| Post Code | 680482610 |
| Phone Number | 4022960669 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 20789 |
|
Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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What is the unique provider identifier assigned to Nicole Diane Kozak?
The Nicole Diane Kozak has been issued the NPI (National Provider Identifier) 1033315684 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Nicole Diane Kozak?
The Nicole Diane Kozak is physically situated at 1904 Lincoln Ave Trlr 33, in the city of Plattsmouth, state of NE, with the postal code 680482610.
What is the Nicole Diane Kozak's specialty and taxonomy code?
The Nicole Diane Kozak's specialty is Licensed Practical Nurse, and the corresponding taxonomy code is 164W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1033315684 to Nicole Diane Kozak?
The Nicole Diane Kozak received its 1033315684 assignment from the Centers for Medicare & Medicaid Services on 2007-06-21.
When was the information regarding Nicole Diane Kozak, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Nicole Diane Kozak, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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