Individual provider · Type 1 NPI

Samantha R. Kozol, APRN-NP

Primary Care Nurse Practitioner · Omaha, NE

NPI number 1124894571 Active

Practice location

110 N 175th St Ste 1000
Omaha, NE 68118-3581

Fax (402) 955-7310

Mailing address

PO Box 24607
Omaha, NE 68124-0607

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X114694 (NE)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1124894571

Samantha R. Kozol, APRN-NP's National Provider Identifier is 1124894571, issued on Nov 28, 2023. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Omaha, NE. The record was last updated on Mar 5, 2024.