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Individual

LAURA ANNE COSENZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
1162 MONTGOMERY DR, SANTA ROSA, CA 95405-4802
(707) 890-4250
Mailing address
904 7TH AVE, SEATTLE, WA 98104-1132
(206) 860-5572
(206) 720-7418

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95027884
CA
363LA2200X
Adult Health Nurse Practitioner
05894-NP
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
AP60053122
WA

Other

Enumeration date
10/07/2010
Last updated
11/17/2023
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