Provider Demographics
NPI:1104996677
Name:COSLETT, RAYMA NICOLE (PA-C)
Entity type:Individual
Prefix:MS
First Name:RAYMA
Middle Name:NICOLE
Last Name:COSLETT
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:NAVAL MEDICAL CENTER PORTSMOUTH
Mailing Address - Street 2:620 JOHN PAUL JONES CIRCLE
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23708
Mailing Address - Country:US
Mailing Address - Phone:757-953-5113
Mailing Address - Fax:
Practice Address - Street 1:160 MAIN RD STE 1806
Practice Address - Street 2:
Practice Address - City:YORKTOWN
Practice Address - State:VA
Practice Address - Zip Code:23691-5111
Practice Address - Country:US
Practice Address - Phone:757-953-8437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2022-06-15
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical