Provider Demographics
NPI:1396776308
Name:COZAD, SHARON KAY (ARNP)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:KAY
Last Name:COZAD
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:101 COLLEGE OF NURSING BLDG RM 425
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1117
Mailing Address - Country:US
Mailing Address - Phone:319-467-1256
Mailing Address - Fax:319-384-0080
Practice Address - Street 1:101 NURSING BUILDING
Practice Address - Street 2:COLLEGE OF NURSING U OF I 50 NEWTON ROAD
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1121
Practice Address - Country:US
Practice Address - Phone:319-335-9654
Practice Address - Fax:319-335-7106
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAH-068835363LA2200X
IAJ-068835363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0113937Medicaid