Provider Demographics
NPI:1558863894
Name:COSSMAN, WENDY (RN, BSN)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:
Last Name:COSSMAN
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11603 GLYNSHIRE CT
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-2029
Mailing Address - Country:US
Mailing Address - Phone:301-424-7344
Mailing Address - Fax:
Practice Address - Street 1:11603 GLYNSHIRE CT
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-2029
Practice Address - Country:US
Practice Address - Phone:301-424-7344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-02
Last Update Date:2018-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR081697163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator