person
Kristine M Costello, ANP
Family Nurse Practitioner in Godfrey, Illinois
NPI 1922469402

Kristine M Costello is a Family Nurse Practitioner based in Saint Louis, IL and is specialized in Family. Kristine M Costello practices in Godfrey, IL and has the professional credentials of ANP. The NPI Number for Kristine M Costello is 1922469402 and holds a License No. 2016000994 (Illinois).

The current practice location address for Kristine M Costello is 5520 Godfrey Rd Ste B, Godfrey, IL and can be reached out via phone at 618-463-7800 and via fax at 618-467-0073.

Location: 5520 Godfrey Rd Ste B, Godfrey, IL, 63141-8573
person
Provider Profile Details
NPI Number
1922469402
Provider Name
Kristine M Costello
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
5520 Godfrey Rd Ste B, Godfrey, IL, 63141-8573
Phone Number
618-463-7800
Fax Number
618-467-0073
Provider Enumeration Date
03/11/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5520 Godfrey Rd Ste B
City
State
Zip
62035-2741
Phone Number
618-463-7800
Fax Number
618-467-0073
person
Provider Business Mailing Address Details
Address
5520 Godfrey Rd Ste B
City
State
Zip
62035-2741
Phone Number
618-463-7800
Fax Number
618-467-0073
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
209013674 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2016000994 (Missouri)
Definition
Definition to come...
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