Individual
MRS. MELISSA MARIE COSGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9330 NE VANCOUVER MALL DR STE 201, VANCOUVER, WA 98662-8212
(360) 597-4543
Mailing address
9330 NE VANCOUVER MALL DR STE 201, VANCOUVER, WA 98662-8212
(360) 600-9963
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00160659
WA
363LF0000X
Family Nurse Practitioner
AP60635088
WA
363LP2300X
Primary Care Nurse Practitioner
Primary
AP60635088
WA
Other
Enumeration date
01/05/2016
Last updated
08/30/2021
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