Active NPIIndividual provider

Maxine Costa, APRN

Nurse Practitioner, Obstetrics & Gynecology in Hartford, Connecticut

NPI Number1851494942
Practice location
19 Woodland Street, Suite 31, Hartford, CT 06105
Fax
860-724-5224
Last updated
January 11, 2010

Maxine Costa is a Nurse Practitioner, Obstetrics & Gynecology based in Hartford, CT. Maxine Costa practices in Hartford, CT and has the professional credentials of APRN. The NPI Number for Maxine Costa is 1851494942 and holds a License No. 000861 (CT). The current practice location address for Maxine Costa is 19 Woodland Street, Suite 31, Hartford, CT 06105 and can be reached out via phone at 860-728-1212 and via fax at 860-724-5224.

Provider Profile Details

NPI Number
1851494942
Provider Name
Maxine Costa
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
19 Woodland Street, Suite 31, Hartford, CT 06105
Phone Number
860-728-1212
Fax Number
860-724-5224
Primary Taxonomy
Nurse Practitioner, Obstetrics & Gynecology · 363LX0001X
Sole Proprietor
No
Provider Enumeration Date
September 6, 2006
Last Update Date
January 11, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
19 Woodland Street
Suite 31
Hartford, CT 06105
Zip
06105
Phone Number
860-728-1212
Fax Number
860-724-5224
Hartford, CT 06105Get directions →

Provider Business Mailing Address Details

Address
19 Woodland Street
Suite 31
Hartford, CT 06105
City
Hartford
State
CT
Zip
06105
Phone Number
860-728-1212
Fax Number
860-724-5224

License Information

License Number (1)
000861
License State (1)
CT
License Number (2)
000861
License State (2)
CT
Taxonomy (2)
Nurse Practitioner, Obstetrics & Gynecology · 363LX0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Maxine Costa, APRN?

The NPI number of Maxine Costa, APRN is 1851494942. It was assigned on September 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Maxine Costa, APRN?

Maxine Costa, APRN is registered under the primary taxonomy Nurse Practitioner, Obstetrics & Gynecology (code 363LX0001X), licensed in CT under license number 000861.

Where does Maxine Costa, APRN practice?

The practice location is 19 Woodland Street, Suite 31, Hartford, CT 06105. The office can be reached at 860-728-1212 (phone) or 860-724-5224 (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 1851494942 directly on the NPPES registry website.

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