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NPI Code Detail

MEDICARE: DR. MARY JANET COHORST

MEDICARE: DR. MARY JANET COHORST
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
11835C0205XCritical Care Pharmacist26024464AIN

General Provider Information

NPI Number : 1508791260
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARY JANET COHORST
Provider Business Mailing Address
First Line : 850 BLUE RIDGE RD
Second Line :
City : EVANSVILLE
State : IN
Zip : 47714-0630
Country : US
Telephone Number : 618-518-0250
Fax Number :
Provider Business Practice Location Address
First Line : 600 MARY ST
Second Line :
City : EVANSVILLE
State : IN
Zip : 47710-1658
Country : US
Telephone Number : 812-450-3394
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2026
Last Update Date : 06/15/2026

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Directions to “ DR. MARY JANET COHORST ” Practice Location

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