Individual
MRS. MARIANNE THERESE COSENTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
220 MAIN ST STE 1A, OXFORD, CT 06478-1065
(203) 888-5527
Mailing address
67 MAPLE AVE, DERBY, CT 06418-1328
(203) 732-1256
(203) 732-1539
Taxonomy
Speciality
Code
Description
License number
State
163WC3500X
Cardiac Rehabilitation Registered Nurse
4241
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
4241
CT
364SA2200X
Adult Health Clinical Nurse Specialist
209.004942
IL
Other
Enumeration date
05/22/2008
Last updated
01/27/2022
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