Provider Demographics
NPI:1487671459
Name:BURGESS-COSBEY, CYNTHIA P (NP, MSN, RN)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:P
Last Name:BURGESS-COSBEY
Suffix:
Gender:F
Credentials:NP, MSN, RN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:375 MUNICH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94112-2809
Mailing Address - Country:US
Mailing Address - Phone:415-585-0337
Mailing Address - Fax:
Practice Address - Street 1:4150 CLEMENT ST
Practice Address - Street 2:SAN FRANCISCO VA MEDICAL CENTER, 181 HBPC
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94121-1545
Practice Address - Country:US
Practice Address - Phone:415-221-4810
Practice Address - Fax:415-379-5512
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2014-02-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CARN390588163WM0705X
CANPF7664363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical