David Costello C.R.N.P.

NPI 1104053420 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1104053420
Gender Male
Enumeration Date 06/12/2009
Last Updated 04/24/2013
Entity Type Individual
Active Over 7 years ago
Practice Location
1720 2ND AVE S
BDB 503
BIRMINGHAM AL, 35294-0012, US
Phone (205) 934-2006
Business Location
# 202
BIRMINGHAM AL, 35216-3081, US
Phone (205) 478-0897
Taxonomy Code 363LF0000X
License State Alabama
License Number 1-064521
Remove 1104053420 NPI Number

According to our database, David Costello C.R.N.P. NPI is 1104053420, taxonomy code is 363LF0000X and license number is 1-064521, license state is located at Alabama. David Costello C.R.N.P. physically located at 1720 2nd Ave S, Birmingham AL, 35294-0012. NPI Number David Costello C.R.N.P. has the Individual type.

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1104053420 NPI number is provided on an as is basis without warranty of any kind. 1104053420 is maintained by the National Plan & Provider Enumeration System. The contents of David Costello C.R.N.P. are for informational purposes only.