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Mrs. Diana M Costa, RN
Family Nurse Practitioner in Fort Bragg, North Carolina
NPI 1891200812

Diana M Costa is a Family Nurse Practitioner based in Bethesda, NC and is specialized in Family. Diana M Costa practices in Fort Bragg, NC and has the professional credentials of RN. The NPI Number for Diana M Costa is 1891200812 and holds a License No. 736894 (North Carolina).

The current practice location address for Diana M Costa is 2817 Reilly St, Fort Bragg, NC and can be reached out via phone at 910-907-8500.

Location: 2817 Reilly St, Fort Bragg, NC, 20814-4712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891200812
Provider Name
Diana M Costa
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
2817 Reilly St, Fort Bragg, NC, 20814-4712
Phone Number
910-907-8500
Fax Number
Provider Enumeration Date
12/13/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2817 Reilly St
City
Fort Bragg
State
North Carolina
Zip
28310-4712
Phone Number
910-907-8500
Fax Number
person
Provider Business Mailing Address Details
Address
2817 Reilly St
City
Fort Bragg
State
North Carolina
Zip
28310-4712
Phone Number
910-907-8500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95015129 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
736894 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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