Healthcare Provider Details

I. General information

NPI: 1659287423
Provider Name (Legal Business Name): TORI KOZBIAL RN,BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8221 AUBURN RD
CONCORD TOWNSHIP OH
44077-9786
US

IV. Provider business mailing address

2557 MADISON AVE
PAINESVILLE OH
44077-5185
US

V. Phone/Fax

Practice location:
  • Phone: 937-244-6625
  • Fax:
Mailing address:
  • Phone: 937-244-6625
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number469544
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: