Provider Demographics
NPI:1730070285
Name:KASOZI, SHARIFA N (LPN)
Entity type:Individual
Prefix:MS
First Name:SHARIFA
Middle Name:N
Last Name:KASOZI
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:736 PRINCETON BLVD APT 22
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01851-2060
Mailing Address - Country:US
Mailing Address - Phone:857-352-8707
Mailing Address - Fax:
Practice Address - Street 1:736 PRINCETON BLVD
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01851-2057
Practice Address - Country:US
Practice Address - Phone:857-352-8707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALN100878164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse