Healthcare Provider Details

I. General information

NPI: 1477984425
Provider Name (Legal Business Name): SARA KOSLOSKY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2013
Last Update Date: 12/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 L ST NW SUITE 300
WASHINGTON DC
20005-3509
US

IV. Provider business mailing address

1400 L ST NW SUITE 300
WASHINGTON DC
20005-3509
US

V. Phone/Fax

Practice location:
  • Phone: 202-745-3107
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN1025628
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: