Individual
ASHA JERUBET KOSGEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1445 W MAIN ST, NEWARK, OH 43055-1989
(740) 788-0394
Mailing address
1445 W MAIN ST, NEWARK, OH 43055-1989
(740) 788-0394
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN390424
OH
164W00000X
Licensed Practical Nurse
PN.139061
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.023446
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134565047
—
OH
Enumeration date
05/17/2013
Last updated
11/06/2018
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