Individual
MRS. CYNTHIA M COSENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., C.D.
Contact information
Practice address
635 N FOREST RD, CRAWFORDSVILLE, IN 47933-6134
(765) 364-1936
Mailing address
635 N FOREST RD, CRAWFORDSVILLE, IN 47933-6134
(765) 364-1936
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001539A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M147140002
MEDICARE PROVIDER PTAN
IN
Enumeration date
01/26/2007
Last updated
10/06/2023
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