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NPI Code Detail

MEDICARE: AUNDRIA COSBY RN

MEDICARE: AUNDRIA COSBY RN
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 NurseRN67494DC

General Provider Information

NPI Number : 1578839288
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUNDRIA COSBY RN
Provider Business Mailing Address
First Line : 6100 GRENFELL LOOP
Second Line :
City : BOWIE
State : MD
Zip : 20720-5342
Country : US
Telephone Number : 703-725-5286
Fax Number :
Provider Business Practice Location Address
First Line : 1707 L ST NW
Second Line : SUITE 900
City : WASHINGTON
State : DC
Zip : 20036-4201
Country : US
Telephone Number : 202-829-1111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2012
Last Update Date : 03/27/2012

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