Healthcare Provider Details

I. General information

NPI: 1659306256
Provider Name (Legal Business Name): DENISE MARIE KOZER BSN,RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

712 SOUTH AVE
WILKINSBURG PA
15221-2940
US

IV. Provider business mailing address

218 W SMITHFIELD ST
MOUNT PLEASANT PA
15666-1512
US

V. Phone/Fax

Practice location:
  • Phone: 412-243-3400
  • Fax: 412-731-2684
Mailing address:
  • Phone: 724-204-4020
  • Fax: 412-731-2684

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number523738L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163WA0400X
TaxonomyAddiction (Substance Use Disorder) Registered Nurse
License Number523738L
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number523738L
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number523738L
License Number StatePA
# 5
Primary TaxonomyN
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number523738L
License Number StatePA
# 6
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number523738L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: