Individual
MICHELL LEE COSGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-2111
Mailing address
6753 KELLY ANN RD NE, ALBUQUERQUE, NM 87109-3768
(832) 628-4051
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
83158
NM
Other
Enumeration date
04/03/2025
Last updated
07/29/2025
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