Provider Demographics
NPI:1093896995
Name:COCUZZO, ELEANOR ANN (NP)
Entity Type:Individual
Prefix:MRS
First Name:ELEANOR
Middle Name:ANN
Last Name:COCUZZO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 GLENDON RD
Mailing Address - Street 2:
Mailing Address - City:WOODS HOLE
Mailing Address - State:MA
Mailing Address - Zip Code:02543-1405
Mailing Address - Country:US
Mailing Address - Phone:508-548-0593
Mailing Address - Fax:
Practice Address - Street 1:1019 IYANOUGH RD
Practice Address - Street 2:HYANNIS FAMILY PLANNING
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601
Practice Address - Country:US
Practice Address - Phone:508-771-8010
Practice Address - Fax:508-771-2177
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA76373363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health