Healthcare Provider Details

I. General information

NPI: 1235041518
Provider Name (Legal Business Name): MARGARET COSSETTE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 38 1/2 AVE W
WEST FARGO ND
58078-7716
US

IV. Provider business mailing address

3001 34TH AVE S APT 1317
FARGO ND
58104-5156
US

V. Phone/Fax

Practice location:
  • Phone: 701-552-0892
  • Fax:
Mailing address:
  • Phone: 701-552-0892
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: