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Mrs. Erin R Costanzo, APRNFNPC
Family Nurse Practitioner in Dallas, Georgia
NPI 1649244997

Erin R Costanzo is a Family Nurse Practitioner based in Villa Rica, GA and is specialized in Family. Erin R Costanzo practices in Dallas, GA and has the professional credentials of APRNFNPC. The NPI Number for Erin R Costanzo is 1649244997 and holds a License No. RN146776NP (Georgia).

The current practice location address for Erin R Costanzo is 7869 Villa Rica Hwy, Dallas, GA and can be reached out via phone at 770-459-4411 and via fax at 770-459-2424.

Location: 7869 Villa Rica Hwy, Dallas, GA, 30180
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649244997
Provider Name
Erin R Costanzo
Credential
APRNFNPC
Provider Entity Type
Individual
Gender
Female
Address
7869 Villa Rica Hwy, Dallas, GA, 30180
Phone Number
770-459-4411
Fax Number
770-459-2424
Provider Enumeration Date
02/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
453616500A 05 GA
453616500B 05 GA
institution
Provider Business Practice Location Address Details
Address
7869 Villa Rica Hwy
City
Dallas
State
Georgia
Zip
30157
Phone Number
770-459-4411
Fax Number
770-459-2424
person
Provider Business Mailing Address Details
Address
7869 Villa Rica Hwy
City
Dallas
State
Georgia
Zip
30157
Phone Number
770-459-4411
Fax Number
770-459-2424
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN146776NP (Georgia)
Definition
Definition to come...
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