Provider Demographics
NPI:1841529948
Name:CARRIZOSA, NATHALIE COZON (CPNP-PC)
Entity type:Individual
Prefix:
First Name:NATHALIE
Middle Name:COZON
Last Name:CARRIZOSA
Suffix:
Gender:F
Credentials:CPNP-PC
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Mailing Address - Street 1:3396 CLOVERLEAF PKWY
Mailing Address - Street 2:SUBURBAN PEDIATRICS
Mailing Address - City:KANNAPOLIS
Mailing Address - State:NC
Mailing Address - Zip Code:28083-6992
Mailing Address - Country:US
Mailing Address - Phone:704-403-7740
Mailing Address - Fax:704-403-7750
Practice Address - Street 1:3396 CLOVERLEAF PKWY
Practice Address - Street 2:SUBURBAN PEDIATRICS
Practice Address - City:KANNAPOLIS
Practice Address - State:NC
Practice Address - Zip Code:28083-6992
Practice Address - Country:US
Practice Address - Phone:704-403-7740
Practice Address - Fax:704-403-7750
Is Sole Proprietor?:No
Enumeration Date:2009-12-18
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC20092402363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics