Provider Demographics
NPI:1235424458
Name:COZZUOL, ROSANNE REGINA (LPN)
Entity Type:Individual
Prefix:MS
First Name:ROSANNE
Middle Name:REGINA
Last Name:COZZUOL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4901 TULIP CT
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54401-7605
Mailing Address - Country:US
Mailing Address - Phone:715-581-2182
Mailing Address - Fax:
Practice Address - Street 1:4901 TULIP CT
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54401-7605
Practice Address - Country:US
Practice Address - Phone:715-298-1422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-15
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI13898-31164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse