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:
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Health care specialties

SpecialtyCodeLicense #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 2 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487845558 NPPES
Arizona MEDICAID 623754

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