Provider Demographics
NPI:1043527849
Name:KOZAN, SELINA (APRN)
Entity type:Individual
Prefix:DR
First Name:SELINA
Middle Name:
Last Name:KOZAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 FOREST HILL BLVD # 50-109
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-5813
Mailing Address - Country:US
Mailing Address - Phone:561-437-6584
Mailing Address - Fax:
Practice Address - Street 1:3300 FOREST HILL BLVD # 50-109
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-5813
Practice Address - Country:US
Practice Address - Phone:561-437-6584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-01
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9210685363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily