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NPI Code Detail

MEDICARE: ANDRY KOZIOL NP

MEDICARE: ANDRY KOZIOL NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse95121768CA
2363LF0000XFamily Nurse Practitioner95011276CA

General Provider Information

NPI Number : 1346710464
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDRY KOZIOL NP
Provider Business Mailing Address
First Line : 1998 MARKET ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94102-6228
Country : US
Telephone Number : 415-792-6040
Fax Number :
Provider Business Practice Location Address
First Line : 1998 MARKET ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94102-6228
Country : US
Telephone Number : 415-792-6040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2018
Last Update Date : 11/20/2019

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