| Doctor Name: | CAROLINE M. COGEN |
| NPI Number: | 1457361370 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | AP30007443 |
| Business Practice Address: | 680 Sun Valley Rd #8 Ketchum, ID - 83340 |
| Business Phone Number: | 2087218128 |
| Business Fax Number: | 2083306069 |
| Mailing Address: | Po Box 10155, KETCHUM |
| State: | ID |
| Postal Code: | 83340 |
| Phone Number: | 2087218128 |
| Fax Number: | 2083306069 |
| NPI Enumeration Date: | 08/09/2006 |
| NPI Last Update Date: | 12/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | AP30007443 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |