SHANNAH KATHLEEN COZAD


Address: 503 Westerly Dr, Aberdeen, WA 98520-1232
Phone: 3605808441

SHANNAH KATHLEEN COZAD (NPI# 1730526799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730526799
Entity Type Individual
Full Name SHANNAH KATHLEEN COZAD
Credential ARNP
Practice Address 503 Westerly Dr
Aberdeen
WA 98520-1232
Practice Telephone 3605808441
Mailing Telephone 3605808441
Enumeration Date 2013-05-31
Last Update Date 2014-01-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
RN00150724 WA Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
AP60399114 WA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 503 WESTERLY DR
City ABERDEEN
State WA
Zip Code 98520-1232

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City ABERDEEN
Zip Code 98520

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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