person
Elizabeth A Kozlicak, NP
Nurse Practitioner in Worcester, Massachusetts
NPI 1629053574

Elizabeth A Kozlicak is a Nurse Practitioner based in Worcester, MA. Elizabeth A Kozlicak practices in Worcester, MA and has the professional credentials of NP. The NPI Number for Elizabeth A Kozlicak is 1629053574 and holds a License No. 96018 (Massachusetts).

The current practice location address for Elizabeth A Kozlicak is 20 Worcester Center Blvd, Worcester, MA and can be reached out via phone at 508-368-3179 and via fax at 508-368-3164. You can also correspond with Elizabeth A Kozlicak through the mailing address at 630 PLANTATION ST, WORCESTER, MA - 01605 (mailing address contact number: 508-368-5529).

Location: 20 Worcester Center Blvd, Worcester, MA, 01605
person
Provider Profile Details
NPI Number
1629053574
Provider Name
Elizabeth A Kozlicak
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
20 Worcester Center Blvd, Worcester, MA, 01605
Phone Number
508-368-3179
Fax Number
508-368-3164
Provider Enumeration Date
12/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0324736 01 MEDICAID WELFARE
NP1063 01 BLUE CARE ELECT
NP1063 01 BLUE SHIELD HMO BLUE
54954 01 FALLON COMM. HEALTH PLAN
NP1063 01 BLUE SHIELD INDEMNITY
0324736 05 MA
NP1063 01 MEDICARE B
AA3670 01 HARVARD PILGRIM HEALTHCAR
institution
Provider Business Practice Location Address Details
Address
20 Worcester Center Blvd
City
State
Zip
01608
Phone Number
508-368-3179
Fax Number
508-368-3164
person
Provider Business Mailing Address Details
Address
630 Plantation St
City
State
Zip
01605
Phone Number
508-368-5529
Fax Number
508-368-5530
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
96018 (Massachusetts)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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