Provider Demographics
NPI:1669933446
Name:KUSOVSCHI, CLAUDIA RODICA (RN, BSN)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:RODICA
Last Name:KUSOVSCHI
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:CLAUDIA
Other - Middle Name:RODICA
Other - Last Name:BORDEA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2447 WELFORD CT
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-3130
Mailing Address - Country:US
Mailing Address - Phone:678-923-1317
Mailing Address - Fax:
Practice Address - Street 1:2660 SATELLITE BLVD
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-5803
Practice Address - Country:US
Practice Address - Phone:404-785-5437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-26
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN255664163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse