Provider Demographics
NPI:1699979476
Name:COSLOW, BARBARA I (NP)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:I
Last Name:COSLOW
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:2442 DORCHESTER DR N
Mailing Address - Street 2:#103
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-3755
Mailing Address - Country:US
Mailing Address - Phone:248-816-0824
Mailing Address - Fax:248-898-1276
Practice Address - Street 1:3601 W 13 MILE RD
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-6712
Practice Address - Country:US
Practice Address - Phone:248-898-0046
Practice Address - Fax:248-898-1276
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2022-10-14
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Provider Licenses
StateLicense IDTaxonomies
MI4704107713363LA2200X, 364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health