person
David Costello, CRNP
Family Nurse Practitioner in Gulfport, Mississippi
NPI 1104053420

David Costello is a Family Nurse Practitioner based in Ocean Springs, MS and is specialized in Family. David Costello practices in Gulfport, MS and has the professional credentials of CRNP. The NPI Number for David Costello is 1104053420 and holds a License No. 1-064521 (Mississippi).

The current practice location address for David Costello is 4300 15Th St, Gulfport, MS and can be reached out via phone at 228-864-0828.

Location: 4300 15Th St, Gulfport, MS, 39564-2612
person
Provider Profile Details
NPI Number
1104053420
Provider Name
David Costello
Credential
CRNP
Provider Entity Type
Individual
Gender
Male
Address
4300 15Th St, Gulfport, MS, 39564-2612
Phone Number
228-864-0828
Fax Number
Provider Enumeration Date
06/12/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4300 15Th St
City
State
Zip
39501-2524
Phone Number
228-864-0828
Fax Number
person
Provider Business Mailing Address Details
Address
4300 15Th St
City
State
Zip
39501-2524
Phone Number
228-864-0828
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
1-064521 (Alabama)
Definition
Definition to come...
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