Provider Demographics
NPI:1912655523
Name:COZELOS, KAREN NAGUIAT (NP-C)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:NAGUIAT
Last Name:COZELOS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2941 COPPER COVE DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-6951
Mailing Address - Country:US
Mailing Address - Phone:904-333-3439
Mailing Address - Fax:
Practice Address - Street 1:2845 SIENA HEIGHTS DR STE 21002200
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-4153
Practice Address - Country:US
Practice Address - Phone:702-877-5199
Practice Address - Fax:702-492-1587
Is Sole Proprietor?:No
Enumeration Date:2022-03-13
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA95019714363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily