Individual
MS. SUSANNA ROSE COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNM, NP, MS, PHN
Contact information
Practice address
10 S 2000 E, SALT LAKE CITY, UT 84112-5880
(801) 581-8244
Mailing address
10 S 2000 E, SALT LAKE CITY, UT 84112-5880
(801) 581-8244
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
640515
CA
163WC1500X
Community Health Registered Nurse
68184
CA
363LW0102X
Women's Health Nurse Practitioner
16782
CA
367A00000X
Advanced Practice Midwife
1236
NY
367A00000X
Advanced Practice Midwife
1730
CA
367A00000X
Advanced Practice Midwife
Primary
6796151-4402
UT
Other
Enumeration date
11/27/2007
Last updated
11/12/2021
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