Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 4704197699 | MI |
N | 363LP2300X | Nurse Practitioner - Primary Care | 4704197699 | MI |
NPI | 1013449859 |
---|---|
Provider Name | Mrs. Georgia Olga Pozios |
First Address | Cadillac, MI 49601-2331 |
Second Address | Cadillac, MI 49601-2331 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2017 |
Last Update Date | 10/11/2021 |