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NPI Code Detail

MEDICARE: CYNTHIA ANNE COSGROVE

MEDICARE: CYNTHIA ANNE COSGROVE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseR142952MD

General Provider Information

NPI Number : 1437667284
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA ANNE COSGROVE
Provider Business Mailing Address
First Line : 10440 LITTLE PATUXENT PKWY
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-3561
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10440 LITTLE PATUXENT PKWY
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-3561
Country : US
Telephone Number : 443-518-6845
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2018
Last Update Date : 01/15/2018

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Directions to “ CYNTHIA ANNE COSGROVE ” Practice Location

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