IndividualActive
Mary Kosiba
NPI 1780640003 · Psychiatric/Mental Health Clinical Nurse Specialist · Saint Cloud, MN
Provider details
- NPI number
- 1780640003
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- R05570640 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4801 Veterans Dr
Saint Cloud, MN 56303-2015
Phone: (320) 252-1670
Approximate (ZIP-level) locationGet directions
Mailing address
4801 Veterans Dr
Saint Cloud, MN 56303-2015
Registry dates
- Enumerated
- 2006-04-25
- Last updated
- 2009-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.