Provider Demographics
NPI:1467600189
Name:KOZAKIEWICZ, VALERIE ANN (RN)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:ANN
Last Name:KOZAKIEWICZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:VALERIE
Other - Middle Name:ANN
Other - Last Name:HIGGINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:47 NARRAGANSETT RD
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14220-2413
Mailing Address - Country:US
Mailing Address - Phone:716-310-7318
Mailing Address - Fax:
Practice Address - Street 1:47 NARRAGANSETT RD
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14220-2413
Practice Address - Country:US
Practice Address - Phone:716-310-7318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-06
Last Update Date:2008-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY455339-1163W00000X, 163WH0200X, 163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics
No163W00000XNursing Service ProvidersRegistered Nurse
No163WH0200XNursing Service ProvidersRegistered NurseHome Health