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Nusiratu Titilayo Cosby, NP
Gerontology Nurse Practitioner in Indianapolis, Indiana
NPI 1508289422

Nusiratu Titilayo Cosby is a Gerontology Nurse Practitioner based in Indianapolis, IN and is specialized in Gerontology. Nusiratu Titilayo Cosby practices in Indianapolis, IN and has the professional credentials of NP. The NPI Number for Nusiratu Titilayo Cosby is 1508289422 and holds a License No. 71004815A (Indiana).

The current practice location address for Nusiratu Titilayo Cosby is 4401 E 10Th St, Indianapolis, IN and can be reached out via phone at 317-353-0195.

Location: 4401 E 10Th St, Indianapolis, IN, 46219-4959
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Provider Profile Details
NPI Number
1508289422
Provider Name
Nusiratu Titilayo Cosby
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
4401 E 10Th St, Indianapolis, IN, 46219-4959
Phone Number
317-353-0195
Fax Number
Provider Enumeration Date
01/28/2014
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000001224860 01 IN ANTHEM PTAN
068010466 01 IN MEDICARE PTAN
P02382155 01 IN RAILROAD PTAN
201212780 05 IN
IN2614024 01 IN MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
4401 E 10Th St
City
State
Zip
46201-2744
Phone Number
317-353-0195
Fax Number
person
Provider Business Mailing Address Details
Address
4401 E 10Th St
City
State
Zip
46201-2744
Phone Number
317-353-0195
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
28165047A (Indiana)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
71004815A (Indiana)
Definition
Definition to come...
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