Charles Marshall Mozena, ATC, LAT

Athletic Trainer · Norfolk, VA

Individual Active NPI

NPI number 1679054035

Practice location

4700 Powhatan Avenue
Norfolk, VA 23529-0001
Phone
(757) 683-3384

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NPI record

NPI
1679054035
Entity type
Individual (Type 1)
Enumeration date
August 23, 2018
Last updated
August 23, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 2000031468 —
Athletic Trainer 2255A2300X 01260030039 VA

Mailing address

814 46TH St Apt a
Norfolk, VA 23508-2010
Phone
(740) 213-4401

About Charles Mozena

Charles Marshall Mozena, ATC, LAT is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 4700 Powhatan Avenue, Norfolk, VA 23529-0001. The NPI number 1679054035 was assigned on August 23, 2018 and the record was last updated on August 23, 2018.

Charles Mozena lists 2 licenses in the registry: #2000031468 for Athletic Trainer; #01260030039 (VA) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Charles Marshall Mozena, ATC, LAT?

The NPI number is 1679054035.

What is the phone number of Charles Mozena?

The phone number listed for the practice location is (757) 683-3384.

Where is Charles Mozena located?

4700 Powhatan Avenue, Norfolk, VA 23529-0001.

What is the taxonomy code for Charles Mozena?

The primary taxonomy code is 2255A2300X – Athletic Trainer; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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