Individual provider · Type 1 NPI
Eltiprise Kosobud-Sossamon, APRN
Adult Health Nurse Practitioner · Charleston, SC
NPI number
1629855796
Active
Practice location
208B Rutledge Avenue Msc 108
Charleston, SC 29425-0001
Mailing address
PO Box 751461
Charlotte, NC 28275-1461
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 27898 (SC) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1629855796
Eltiprise Kosobud-Sossamon, APRN's National Provider Identifier is 1629855796, issued on Sep 12, 2023. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Charleston, SC. The record was last updated on Sep 12, 2023.