Active NPIIndividual provider

Nicole Kostarellas, PA-C

Physician Assistant, Medical in Everett, Massachusetts

NPI Number1083847628
Practice location
103 Garland St, Everett, MA 02149-5066
Fax
—
Last updated
September 11, 2009

Nicole Kostarellas is a Physician Assistant, Medical based in Everett, MA. Nicole Kostarellas practices in Everett, MA and has the professional credentials of PA-C. The NPI Number for Nicole Kostarellas is 1083847628 and holds a License No. 3822 (MA). The current practice location address for Nicole Kostarellas is 103 Garland St, Everett, MA 02149-5066 and can be reached out via phone at 617-381-7150.

Provider Profile Details

NPI Number
1083847628
Provider Name
Nicole Kostarellas
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
103 Garland St, Everett, MA 02149-5066
Phone Number
617-381-7150
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
August 31, 2009
Last Update Date
September 11, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
103 Garland St
Everett, MA 02149-5066
Zip
02149-5066
Phone Number
617-381-7150
Everett, MA 02149Get directions →

Provider Business Mailing Address Details

Address
103 Garland St
Everett, MA 02149-5066
City
Everett
State
MA
Zip
02149-5066
Phone Number
617-381-7150

License Information

License Number
3822
License State
MA
Taxonomy
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nicole Kostarellas, PA-C?

The NPI number of Nicole Kostarellas, PA-C is 1083847628. It was assigned on August 31, 2009 and is currently active in the NPPES registry.

What is the specialty of Nicole Kostarellas, PA-C?

Nicole Kostarellas, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in MA under license number 3822.

Where does Nicole Kostarellas, PA-C practice?

The practice location is 103 Garland St, Everett, MA 02149-5066. The office can be reached at 617-381-7150 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083847628 directly on the NPPES registry website.

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