Individual
MARY ANN COSENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 UNIVERSITY PLZ, YOUNGSTOWN, OH 44555-0001
(330) 941-3489
Mailing address
3087 OLDE WINTER TRL, YOUNGSTOWN, OH 44514-0001
(330) 502-5600
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
161473
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
161473
OH
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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