Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | 2017008859 | MO |
Y | 363LP2300X | Nurse Practitioner - Primary Care | 2017008859 | MO |
N | 363LP2300X | Nurse Practitioner - Primary Care | 45171 | KS |
NPI | 1083860258 |
---|---|
Provider Name | Ms. Natalie P Cocoziello |
First Address | Santa Ana, CA 92705-5694 |
Second Address | Santa Ana, CA 92705-5694 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2008 |
Last Update Date | 19/10/2017 |