Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | RN260594 | OH |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | RN260594 | OH |
NPI | 1285783217 |
---|---|
Provider Name | Angela P Kosie |
First Address | Independence, OH 44131-2139 |
Second Address | Cleveland, OH 44195-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2007 |
Last Update Date | 03/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2580087 | (05) | OH |
Q46285 | (02) | OH |