Individual
JULIE COSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 MAVERICK CT, GRANBURY, TX 76049-1381
(888) 731-8994
Mailing address
112 MAVERICK CT, GRANBURY, TX 76049-1381
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
TAP8378
AZ
Other
Enumeration date
01/07/2016
Last updated
04/14/2025
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