Kathleen M. Costello C.R.N.P.

NPI 1740408020 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1740408020
Gender Female
Enumeration Date 04/23/2007
Last Updated 05/20/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
600 N WOLFE ST
PATHOLOGY BLDG - RM 625
BALTIMORE MD, 21287-0005, US
Phone (410) 614-1066
Fax (410) 502-6736
Business Location
PO BOX 64227
BALTIMORE MD, 21264-4227, US
Phone (410) 410-9331
Fax (410) 502-6736
Toxanomy
Taxonomy Code 363LA2200X
License State Maryland
License Number R069246
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According to our database, Kathleen M. Costello C.R.N.P. NPI is 1740408020, taxonomy code is 363LA2200X and license number is R069246, license state is located at Maryland. Kathleen M. Costello C.R.N.P. physically located at 600 N Wolfe St, Baltimore MD, 21287-0005. NPI Number Kathleen M. Costello C.R.N.P. has the Individual type.

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1740408020 NPI number is provided on an as is basis without warranty of any kind. 1740408020 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen M. Costello C.R.N.P. are for informational purposes only.