Individual provider · Type 1 NPI
Martha Socorro Kozub, APN
Adult Health Nurse Practitioner · Hammond, IN
NPI number
1609098607
Active
Practice location
5514 Hohman Ave.
Hammond, IN 46320
Fax (219) 933-2647
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Other practice locations
- 5530 Hohman Ave, Hammond, IN 46320-1935 · (219) 933-2018
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 71000129A (IN) |
Adult Health Nurse Practitioner: Definition to come...
Other adult health nurse practitioner providers in Hammond
About NPI 1609098607
Martha Socorro Kozub, APN's National Provider Identifier is 1609098607, issued on May 2, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Hammond, IN. The record was last updated on Mar 19, 2021.