Individual provider · Type 1 NPI
Mary Elizabeth Kosiba
Psychiatric/Mental Health Clinical Nurse Specialist · St. Cloud, MN
NPI number
1780640003
Active
Practice location
4801 Veterans Dr
St. Cloud, MN 56303-2015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist Primary | 364SP0808X | R05570640 (MN) |
Psychiatric/Mental Health Clinical Nurse Specialist: Definition to come...
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About NPI 1780640003
Mary Elizabeth Kosiba's National Provider Identifier is 1780640003, issued on Apr 25, 2006. The primary taxonomy on file is Psychiatric/Mental Health Clinical Nurse Specialist (364SP0808X), and the practice location is in St. Cloud, MN. The record was last updated on Mar 25, 2009.