Cosgrove, Susan Ann
Cosgrove, Susan Ann is an individual health care provider with primary practice located at 2120 Centerpointe West Dr , Prescott AZ 86301-8487. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Cosgrove, Susan Ann can be contacted via phone (928) 778-4581.Contact Information
Primary practice address
2120 Centerpointe West Dr
Prescott AZ 86301-8487
Phone: (928) 778-4581
Fax: (928) 776-1872
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP2755 | Arizona |
Profile Details
| NPI number | 1487845558 |
|---|---|
| LBN Legal business name | Cosgrove, Susan Ann |
| Credentials | RN,APRN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2007 |
| Last updated | Mar 27th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487845558 | NPPES |
| Arizona | MEDICAID | 623754 |
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