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General NPI Number Information
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NPI Number | 1609879071
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Entity Type | Individual
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Provider Name | CINDY LOU COSGRAY FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/31/2005
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Last Update Date | 04/05/2016
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Provider Practice Location Address
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Address Line | 301 W HARRISON ST
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City | MONTICELLO
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State | IN
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Zip | 47960-2211
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Country | US
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Telephone | 574-240-1111
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Fax | 574-240-1113
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Provider Business Mailing Address
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Address Line | PO BOX 3074
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City | EVANSVILLE
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State | IN
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Zip | 47730-3074
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Country | US
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Telephone | 812-471-1591
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Fax | 812-471-6650
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71001108A
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License Number State | IN
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