Healthcare Provider Details

I. General information

NPI: 1881526341
Provider Name (Legal Business Name): COZANNE MOSES BRENT DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

728 HOOKERS MILL RD
ABINGDON MD
21009-1122
US

IV. Provider business mailing address

728 HOOKERS MILL RD
ABINGDON MD
21009-1122
US

V. Phone/Fax

Practice location:
  • Phone: 443-257-9180
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR169965
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: