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Katrina M Kozub, FNP
Family Nurse Practitioner in Portage, Indiana
NPI 1508166547

Katrina M Kozub is a Family Nurse Practitioner based in Portage, IN and is specialized in Family. Katrina M Kozub practices in Portage, IN and has the professional credentials of FNP. The NPI Number for Katrina M Kozub is 1508166547 and holds a License No. 71003431A (Indiana).

The current practice location address for Katrina M Kozub is 6375 Us Highway 6, Portage, IN and can be reached out via phone at 219-762-3196 and via fax at 219-763-6438.

Location: 6375 Us Highway 6, Portage, IN, 46368-5217
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508166547
Provider Name
Katrina M Kozub
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
6375 Us Highway 6, Portage, IN, 46368-5217
Phone Number
219-762-3196
Fax Number
219-763-6438
Provider Enumeration Date
10/25/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201059470 05 IN
institution
Provider Business Practice Location Address Details
Address
6375 Us Highway 6
City
Portage
State
Indiana
Zip
46368-5217
Phone Number
219-762-3196
Fax Number
219-763-6438
person
Provider Business Mailing Address Details
Address
6375 Us Highway 6
City
Portage
State
Indiana
Zip
46368-5217
Phone Number
219-762-3196
Fax Number
219-763-6438
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
71003431A (Indiana)
Definition
Definition to come...
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