Provider Demographics
NPI:1710073960
Name:KOSKI, PATRICIA A (NP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:A
Last Name:KOSKI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 NELSON STREET
Mailing Address - Street 2:
Mailing Address - City:LEOMINISTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453
Mailing Address - Country:US
Mailing Address - Phone:978-227-5386
Mailing Address - Fax:978-227-5712
Practice Address - Street 1:48 NELSON STREET
Practice Address - Street 2:
Practice Address - City:LEOMINISTER
Practice Address - State:MA
Practice Address - Zip Code:01453
Practice Address - Country:US
Practice Address - Phone:978-227-5386
Practice Address - Fax:978-227-5712
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH035649-23-05363LG0600X
MA136954363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH797779OtherMVP HEALTHCARE
NP5562Medicare PIN
NHNP0140Medicare UPIN