person
Mrs. Fabiola Lucia Costello, FNP-BC
Family Nurse Practitioner in Kensington, Maryland
NPI 1780055491

Fabiola Lucia Costello is a Family Nurse Practitioner based in Kensington, MD and is specialized in Family. Fabiola Lucia Costello practices in Kensington, MD and has the professional credentials of FNP-BC. The NPI Number for Fabiola Lucia Costello is 1780055491 and holds a License No. R194692 (Maryland).

The current practice location address for Fabiola Lucia Costello is 10901 Connecticut Ave Ste 100, Kensington, MD and can be reached out via phone at 240-290-1041 and via fax at 240-290-1045.

Location: 10901 Connecticut Ave Ste 100, Kensington, MD, 20895-1645
person
Provider Profile Details
NPI Number
1780055491
Provider Name
Fabiola Lucia Costello
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
10901 Connecticut Ave Ste 100, Kensington, MD, 20895-1645
Phone Number
240-290-1041
Fax Number
240-290-1045
Provider Enumeration Date
10/08/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
602602800 05 MD
institution
Provider Business Practice Location Address Details
Address
10901 Connecticut Ave Ste 100
City
State
Zip
20895-1645
Phone Number
240-290-1041
Fax Number
240-290-1045
person
Provider Business Mailing Address Details
Address
10901 Connecticut Ave Ste 100
City
State
Zip
20895-1645
Phone Number
240-290-1041
Fax Number
240-290-1045
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R194692 (Maryland)
Definition
Definition to come...
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