Provider Demographics
NPI:1063015717
Name:COZAD, TONYA MEEKS
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:MEEKS
Last Name:COZAD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 62
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:OH
Mailing Address - Zip Code:45634-0062
Mailing Address - Country:US
Mailing Address - Phone:740-418-7336
Mailing Address - Fax:
Practice Address - Street 1:514 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:OH
Practice Address - Zip Code:45634-8747
Practice Address - Country:US
Practice Address - Phone:740-418-7336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker