person
Johnna Suzanne Costello, FNP-C
Family Nurse Practitioner in Wichita, Kansas
NPI 1184968133

Johnna Suzanne Costello is a Family Nurse Practitioner based in Wichita, KS and is specialized in Family. Johnna Suzanne Costello practices in Wichita, KS and has the professional credentials of FNP-C. The NPI Number for Johnna Suzanne Costello is 1184968133 and holds a License No. 53-75854-011 (Kansas).

The current practice location address for Johnna Suzanne Costello is 3311 E Murdock St, Wichita, KS and can be reached out via phone at 316-689-9107 and via fax at 316-689-9354.

Location: 3311 E Murdock St, Wichita, KS, 67208-0035
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Provider Profile Details
NPI Number
1184968133
Provider Name
Johnna Suzanne Costello
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
3311 E Murdock St, Wichita, KS, 67208-0035
Phone Number
316-689-9107
Fax Number
316-689-9354
Provider Enumeration Date
11/15/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201012490C 05 KS
003719478 01 MEDICARE
institution
Provider Business Practice Location Address Details
Address
3311 E Murdock St
City
State
Zip
67208-3054
Phone Number
316-689-9107
Fax Number
316-689-9354
person
Provider Business Mailing Address Details
Address
3311 E Murdock St
City
State
Zip
67208-3054
Phone Number
316-689-9107
Fax Number
316-689-9354
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
53-75854-011 (Kansas)
Definition
Definition to come...
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