Vina Sananikone Kozusko, NP
Nurse Practitioner in Charlotte, NC. Individual provider (NPI-1).
NPI number1982161907
StatusActive
Last updated in NPPESJul 23, 2024
Details
- NPI
- 1982161907
- Entity type
- Individual (NPI-1)
- Name
- Vina Sananikone Kozusko
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 26, 2019
- Certification date
- Jul 23, 2024
- Last updated
- Jul 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 5011526 | NC | Yes |
Practice location
1021 Morehead Medical DrSte A
Charlotte, NC 28204-2990
Phone 980-442-2000
Mailing address
Po Box 19305Charlotte, NC 28219-9305
Other practice locations
1350 S Kings Dr
Charlotte, NC 28207-2134
Charlotte, NC 28207-2134
Phone 704-446-1255
945 N 5th St
Albemarle, NC 28001-3417
Albemarle, NC 28001-3417
Phone 980-323-7790
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