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NPI Code Detail

MEDICARE: MS. NATALIE P COCOZIELLO APRN-FNP

MEDICARE: MS. NATALIE P COCOZIELLO APRN-FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner2017008859MO
2363LP2300XPrimary Care Nurse Practitioner45171KS
3363LP2300XPrimary Care Nurse Practitioner2017008859MO

General Provider Information

NPI Number : 1083860258
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NATALIE P COCOZIELLO APRN-FNP
Provider Business Mailing Address
First Line : 1241 E DYER RD STE 145
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-5694
Country : US
Telephone Number : 888-306-0615
Fax Number :
Provider Business Practice Location Address
First Line : 1241 E DYER RD STE 145
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-5694
Country : US
Telephone Number : 888-306-0615
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2008
Last Update Date : 10/19/2017

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