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 9 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.

Sponsored links

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.