Tracy Suzanne Cousin in St Cloud - Neonatal
Tracy Suzanne Cousin - NPI 1003891144
Tracy Suzanne Cousin is a Neonatal in St Cloud, Minnesota. Tracy Suzanne Cousin practices all healthcare services and medical treatments related to Neonatal. The NPI Number for Tracy Suzanne Cousin is 1003891144. The last update date is 2007-07-08.
Tracy Suzanne Cousin's current location address is 1200 6th Avenue N, St Cloud, Minnesota. You can contact this provider via phone number 3202525131 and fax number 3202402118. The mailing address for Tracy Suzanne Cousin is 1200 6th Avenue N, St Cloud, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy Suzanne Cousin |
|---|---|
| Address | 1200 6th Avenue N, St Cloud, Minnesota |
| Phone Number | 3202525131 |
| Fax Number | 3202402118 |
| Sole Proprietor | X |
| Credentials | CNP |
NPI Number Detail
| NPI Number | 1003891144 |
|---|---|
| Provider Enumeration Date | 2005-12-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1200 6th Avenue N |
|---|---|
| City | St Cloud |
| State | Minnesota (MN) |
| Post Code | 56303 |
| Phone Number | 3202525131 |
| Fax Number | 3202402118 |
Provider's Primary Taxonomy Detail
| Speciality | Neonatal |
|---|---|
| Taxonomy | 363Ln0000X |
| Licence No | R1602591 |
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Definition: An advanced practice registered nurse expert in providing care to high-risk, critically ill, and special needs newborns. |
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What is the unique 10-digit identification code issued to Tracy Suzanne Cousin by the Centers for Medicare & Medicaid Services?
The Tracy Suzanne Cousin has been assigned the NPI (National Provider Identifier) 1003891144 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Tracy Suzanne Cousin?
The Tracy Suzanne Cousin is situated at 1200 6Th Avenue N, in the city of St Cloud, state of MN, with the zip code 56303.
What is Tracy Suzanne Cousin's area of expertise and its corresponding taxonomy classification?
The Tracy Suzanne Cousin's field of specialization is Neonatal, and it falls under the taxonomy code 363Ln0000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Tracy Suzanne Cousin receive its 1003891144 assignment from the Centers for Medicare & Medicaid Services?
The Tracy Suzanne Cousin was assigned its 1003891144 by the Centers for Medicare & Medicaid Services on 2005-12-13.
As of what date were the Tracy Suzanne Cousin's details last updated?
The information pertaining to the Tracy Suzanne Cousin, including its address, specialty, and other details, was most recently updated on 2007-07-08.