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Lisa Costello, APN
Family Nurse Practitioner in Bordentown, New Jersey
NPI 1174085435

Lisa Costello is a Family Nurse Practitioner based in Bordentown, NJ and is specialized in Family. 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 (New Jersey).

The current practice location address for Lisa Costello is 100 K Johnson Blvd N., Bordentown, NJ and can be reached out via phone at 609-528-8884.

Location: 100 K Johnson Blvd N., Bordentown, NJ, 08505-2275
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174085435
Provider Name
Lisa Costello
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
100 K Johnson Blvd N., Bordentown, NJ, 08505-2275
Phone Number
609-528-8884
Fax Number
Provider Enumeration Date
04/04/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 K Johnson Blvd N.
City
Bordentown
State
New Jersey
Zip
08505
Phone Number
609-528-8884
Fax Number
person
Provider Business Mailing Address Details
Address
100 K Johnson Blvd N.
City
Bordentown
State
New Jersey
Zip
08505
Phone Number
609-528-8884
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
26NJ00900700 (New Jersey)
Definition
Definition to come...
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