Healthcare Provider Details

I. General information

NPI: 1225280746
Provider Name (Legal Business Name): MARGARET CUOZZO R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/15/2008
Last Update Date: 10/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 N 79TH AVE
PHOENIX AZ
85035-1225
US

IV. Provider business mailing address

17943 W CARIBBEAN LN
SURPRISE AZ
85388-7517
US

V. Phone/Fax

Practice location:
  • Phone: 623-691-3115
  • Fax: 623-691-3120
Mailing address:
  • Phone: 623-533-5860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN131955
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: