Individual provider · Type 1 NPI

Cosette L. Nickles, C.R.N.P.

Nurse Practitioner · Baltimore, MD

NPI number 1740249366 Active

Practice location

9000 Franklin Square Dr
Baltimore, MD 21237-3901

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR069110 (MD)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1740249366

Cosette L. Nickles, C.R.N.P.'s National Provider Identifier is 1740249366, issued on Mar 22, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Baltimore, MD. The record was last updated on Jul 13, 2026.