Amanda Costella
Nurse Practitioner, Family in Bridgeport, Connecticut
1245705516- Practice location
- 267 Grant St, Bridgeport, CT 06610-2805
- Phone
- 203-384-4677
- Fax
- 203-384-3135
- Last updated
- December 19, 2019
Amanda Costella is a Nurse Practitioner, Family based in Bridgeport, CT. Amanda Costella practices in Bridgeport, CT. The NPI Number for Amanda Costella is 1245705516 and holds a License No. 7888 (CT). The current practice location address for Amanda Costella is 267 Grant St, Bridgeport, CT 06610-2805 and can be reached out via phone at 203-384-4677 and via fax at 203-384-3135.
Provider Profile Details
- NPI Number
- 1245705516
- Provider Name
- Amanda Costella
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 267 Grant St, Bridgeport, CT 06610-2805
- Phone Number
- 203-384-4677
- Fax Number
- 203-384-3135
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 12, 2018
- Last Update Date
- December 19, 2019
- Certification Date
- December 19, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 267 Grant St
Bridgeport, CT 06610-2805 - City
- Bridgeport
- State
- Connecticut
- Zip
- 06610-2805
- Phone Number
- 203-384-4677
- Fax Number
- 203-384-3135
Provider Business Mailing Address Details
- Address
- 20 York Street, Cb-329
New Haven, CT 06510-3220 - City
- New Haven
- State
- CT
- Zip
- 06510-3220
- Phone Number
- 203-688-1734
- Fax Number
- 203-384-3135
License Information
- License Number
- 7888
- License State
- CT
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Amanda Costella?
The NPI number of Amanda Costella is 1245705516. It was assigned on October 12, 2018 and is currently active in the NPPES registry.
What is the specialty of Amanda Costella?
Amanda Costella is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 7888.
Where does Amanda Costella practice?
The practice location is 267 Grant St, Bridgeport, CT 06610-2805. The office can be reached at 203-384-4677 (phone) or 203-384-3135 (fax).
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 1245705516 directly on the NPPES registry website.