Healthcare Provider Details

I. General information

NPI: 1538145115
Provider Name (Legal Business Name): COZZETTE KRINGS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2005
Last Update Date: 01/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 FREMONT BLVD
SEASIDE CA
93955-5715
US

IV. Provider business mailing address

1615 BUNKER HILL WAY SUITE 100
SALINAS CA
93906-6013
US

V. Phone/Fax

Practice location:
  • Phone: 831-899-8100
  • Fax: 831-899-8105
Mailing address:
  • Phone: 831-796-1304
  • Fax: 831-757-0291

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number13923
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number595983
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: