Provider Demographics
NPI:1285522532
Name:KOZACHENKO, NATALIIA
Entity type:Individual
Prefix:
First Name:NATALIIA
Middle Name:
Last Name:KOZACHENKO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NATALIIA
Other - Middle Name:
Other - Last Name:KOVALETS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:KOVALETS
Mailing Address - Street 1:6807 MIMOSA LN
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-5873
Mailing Address - Country:US
Mailing Address - Phone:402-326-9597
Mailing Address - Fax:
Practice Address - Street 1:5000 W SPARROW LN
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68528-2119
Practice Address - Country:US
Practice Address - Phone:402-730-8381
Practice Address - Fax:402-260-7401
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care