Individual
NANCY BETH COCKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7250 FRANCE AVE S, SUITE 100, EDINA, MN 55435-4305
(952) 926-2300
(952) 926-7385
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
(952) 926-7385
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30079
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0415431
MEDICA
MN
01
—
110134748
RAILROAD MEDICARE
MN
01
—
15062CO
BLUE CROSS BLUE SHIELD MN
MN
01
—
55435A004
TRICARE
MN
05
—
557388200
—
MN
01
—
9221868
DAKOTA CARE
MN
01
—
966406
AMERICAS PPO/ARAZ
MN
01
—
NA3181022469
PREFERRED ONE
MN
Enumeration date
08/16/2005
Last updated
05/28/2013
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