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Mary K Cousins, NP
Family Nurse Practitioner in Miami, Florida
NPI 1659467157

Mary K Cousins is a Family Nurse Practitioner based in Miami Shores, FL and is specialized in Family. Mary K Cousins practices in Miami, FL and has the professional credentials of NP. The NPI Number for Mary K Cousins is 1659467157 and holds a License No. 9172104 (Florida).

The current practice location address for Mary K Cousins is 1611 Nw 12 Avenue, Miami, FL and can be reached out via phone at 305-585-5905.

Location: 1611 Nw 12 Avenue, Miami, FL, 33138-2446
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659467157
Provider Name
Mary K Cousins
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1611 Nw 12 Avenue, Miami, FL, 33138-2446
Phone Number
305-585-5905
Fax Number
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
304054200 05 FL
institution
Provider Business Practice Location Address Details
Address
1611 Nw 12 Avenue
City
Miami
State
Florida
Zip
33136-1005
Phone Number
305-585-5905
Fax Number
person
Provider Business Mailing Address Details
Address
1611 Nw 12 Avenue
City
Miami
State
Florida
Zip
33136-1005
Phone Number
305-585-5905
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
9172104 (Florida)
Definition
Definition to come...
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