Healthcare Provider Details

I. General information

NPI: 1457498065
Provider Name (Legal Business Name): CHANAH COSSMAN CNM, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

829 F ST
FRESNO CA
93706-3418
US

IV. Provider business mailing address

829 F ST
FRESNO CA
93706-3418
US

V. Phone/Fax

Practice location:
  • Phone: 559-266-0444
  • Fax: 559-266-7745
Mailing address:
  • Phone: 559-266-0444
  • Fax: 559-266-7745

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP 5455
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberNMW 802
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: