Individual
CARRIE LEE COSGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1610 MILLER PARK WAY, WEST MILWAUKEE, WI 53214-3604
(414) 651-8033
Mailing address
5071 W COLONIAL CT, GREENFIELD, WI 53220-2012
(141) 465-1803
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
129441
WI
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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