Individual
TINA COSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
602 E BALTIMORE PIKE, MEDIA, PA 19063-1735
(484) 444-2834
(484) 444-2592
Mailing address
1108 ANGORA DR, YEADON, PA 19050-3402
(610) 529-7210
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
26NJ01219300
NJ
207QA0505X
Adult Medicine Physician
SP024153
PA
363LP2300X
Primary Care Nurse Practitioner
Primary
SP024153
PA
Other
Enumeration date
02/28/2022
Last updated
04/19/2022
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