Provider Demographics
NPI:1861192452
Name:MIKOSZ, MAUREEN (RN)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:
Last Name:MIKOSZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 SEALOFTS DR APT 403
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-3710
Mailing Address - Country:US
Mailing Address - Phone:561-601-9131
Mailing Address - Fax:
Practice Address - Street 1:603 SEALOFTS DR APT 403
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-3710
Practice Address - Country:US
Practice Address - Phone:561-601-9131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-03
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9513402163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine