Individual
CATHERINE T COSCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1701 SENATE BLVD, ROOM AG001, INDIANAPOLIS, IN 46202-1239
(314) 796-2388
(317) 962-8652
Mailing address
250 N SHADELAND AVE, STE 200, INDIANAPOLIS, IN 46219-4959
(317) 963-2720
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71000248A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200880100
—
IN
01
—
P00900923
RR MEDICARE PTAN
IN
Enumeration date
05/18/2007
Last updated
02/04/2021
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