Individual
PAIGE COSMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-0175
Mailing address
4326 HAVEN ST, SAINT LOUIS, MO 63116-2148
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022037798
MO
363LF0000X
Family Nurse Practitioner
209026479
IL
Other
Enumeration date
01/09/2023
Last updated
11/02/2023
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