Doctor Name: | SELINA WUN YING KOZAN |
NPI Number: | 1043527849 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP9210685 |
Business Practice Address: | 475 Pine Tree Ct Atlantis, FL - 334621217 |
Business Phone Number: | 5619637684 |
Business Fax Number: | |
Mailing Address: | 475 Pine Tree Ct, ATLANTIS |
State: | FL |
Postal Code: | 334621217 |
Phone Number: | 5619637684 |
Fax Number: | |
NPI Enumeration Date: | 09/01/2010 |
NPI Last Update Date: | 09/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | ARNP9210685 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |