Individual
MICHELLE M COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
37 HIGHLAND AVE, WASHINGTON, PA 15301-4062
(724) 223-1067
(724) 223-1088
Mailing address
1070 OLD NATIONAL PIKE, FREDERICKTOWN, PA 15333-2114
(724) 632-6801
(724) 632-6312
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
SP015236
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP023180
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014582
HIGHMARK BLUE SHIELD
PA
05
—
1007288440104
—
PA
Enumeration date
09/22/2015
Last updated
07/23/2021
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