person
Amanda Costello, ARNP
Psychiatric/Mental Health Nurse Practitioner in Lutz, Florida
NPI 1346678026

Amanda Costello is a Psychiatric/Mental Health Nurse Practitioner based in Tampa, FL and is specialized in Psychiatric/Mental Health. Amanda Costello practices in Lutz, FL and has the professional credentials of ARNP. The NPI Number for Amanda Costello is 1346678026 and holds a License No. SP013276 (Florida).

The current practice location address for Amanda Costello is 18958 N Dale Mabry Hwy, Lutz, FL and can be reached out via phone at 813-839-7390 and via fax at 813-333-5994. You can also correspond with Amanda Costello through the mailing address at 9310 HERITAGE OAK CT, TAMPA, FL - 33647-5013 (mailing address contact number: 727-808-0959).

Location: 18958 N Dale Mabry Hwy, Lutz, FL, 33647-5013
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Provider Profile Details
NPI Number
1346678026
Provider Name
Amanda Costello
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
18958 N Dale Mabry Hwy, Lutz, FL, 33647-5013
Phone Number
813-839-7390
Fax Number
813-333-5994
Provider Enumeration Date
10/16/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01567509 05 FL
institution
Provider Business Practice Location Address Details
Address
18958 N Dale Mabry Hwy
City
State
Zip
33548-2829
Phone Number
813-839-7390
Fax Number
813-333-5994
person
Provider Business Mailing Address Details
Address
18958 N Dale Mabry Hwy
City
State
Zip
33548-2829
Phone Number
813-839-7390
Fax Number
813-333-5994
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
SP013276 (Pennsylvania)
Definition
Definition to come...
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