Individual
MICHEL DANETTE COSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
302 W SMITH, STRATFORD, OK 74872-4656
(580) 436-5111
(580) 436-1159
Mailing address
527 W 3RD ST, KONAWA, OK 74849-1415
(580) 925-3286
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0058168
OK
Other
Enumeration date
12/16/2016
Last updated
08/22/2025
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