Healthcare Provider Details

I. General information

NPI: 1871634808
Provider Name (Legal Business Name): JULIA K KUZIN RN CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6621 FANNIN ST
HOUSTON TX
77030-2303
US

IV. Provider business mailing address

11327 CHESTNUT WOODS TRL
HOUSTON TX
77065-3354
US

V. Phone/Fax

Practice location:
  • Phone: 832-826-5745
  • Fax:
Mailing address:
  • Phone: 281-477-9124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number670719
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: