Individual provider · Type 1 NPI
Shannon Kozak, RN
Administrator Registered Nurse · Rochester, NY
NPI number
1164280731
Active
Practice location
3300 Dewey Ave
Rochester, NY 14616-3741
Mailing address
176 Rye Rd
Rochester, NY 14626-3659
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | 711501 (NY) |
Administrator Registered Nurse: Definition to come...
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About NPI 1164280731
Shannon Kozak, RN's National Provider Identifier is 1164280731, issued on Mar 8, 2024. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Rochester, NY. The record was last updated on Mar 8, 2024.