Healthcare Provider Details

I. General information

NPI: 1508712514
Provider Name (Legal Business Name): COZEAY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2026
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8609 BLUE SMOKE CT
ELKRIDGE MD
21075-6621
US

IV. Provider business mailing address

8609 BLUE SMOKE CT
ELKRIDGE MD
21075-6621
US

V. Phone/Fax

Practice location:
  • Phone: 240-330-3028
  • Fax:
Mailing address:
  • Phone: 240-330-3028
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CONSTANCE MOYO
Title or Position: OWNER/AUTHORIZED OFFICIAL
Credential:
Phone: 240-330-3028