Active NPIIndividual providerSole proprietor

Lisa Costello, APN

Nurse Practitioner, Family in Bordentown, New Jersey

NPI Number1174085435
Practice location
100 K Johnson Blvd N., 2ND Floor, Bordentown, NJ 08505
Fax
—
Last updated
April 26, 2021

Lisa Costello is a Nurse Practitioner, Family based in Bordentown, NJ. Lisa Costello practices in Bordentown, NJ and has the professional credentials of APN. The NPI Number for Lisa Costello is 1174085435 and holds a License No. 26NJ00900700 (NJ). The current practice location address for Lisa Costello is 100 K Johnson Blvd N., 2ND Floor, Bordentown, NJ 08505 and can be reached out via phone at 609-528-8884.

Provider Profile Details

NPI Number
1174085435
Provider Name
Lisa Costello
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
100 K Johnson Blvd N., 2ND Floor, Bordentown, NJ 08505
Phone Number
609-528-8884
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
April 4, 2019
Last Update Date
April 26, 2021
Certification Date
April 26, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 K Johnson Blvd N.
2ND Floor
Bordentown, NJ 08505
Zip
08505
Phone Number
609-528-8884
Bordentown, NJ 08505Get directions →

Provider Business Mailing Address Details

Address
100 K Johnson Blvd N.
2ND Flr
Bordentown, NJ 08505-2275
City
Bordentown
State
NJ
Zip
08505-2275
Phone Number
609-528-8884

License Information

License Number
26NJ00900700
License State
NJ
Taxonomy
Nurse Practitioner, Family · 363LF0000X · 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 Lisa Costello, APN?

The NPI number of Lisa Costello, APN is 1174085435. It was assigned on April 4, 2019 and is currently active in the NPPES registry.

What is the specialty of Lisa Costello, APN?

Lisa Costello, APN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ00900700.

Where does Lisa Costello, APN practice?

The practice location is 100 K Johnson Blvd N., 2ND Floor, Bordentown, NJ 08505. The office can be reached at 609-528-8884 (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 1174085435 directly on the NPPES registry website.

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