Individual
MRS. CHRISTINA COSSOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2116 MEGAN DR STE 102, CAPE GIRARDEAU, MO 63701
(573) 335-7546
(573) 335-7550
Mailing address
2116 MEGAN DR STE 102, CAPE GIRARDEAU, MO 63701-1979
(573) 335-7546
(573) 335-7550
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016040128
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA2057008
PTAN
—
Enumeration date
11/17/2016
Last updated
09/16/2019
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