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Ms. Joan S Costello, PNP
Pediatric Nurse Practitioner in Kaufman, Texas
NPI 1952563876

Joan S Costello is a Pediatric Nurse Practitioner based in Kaufman, TX and is specialized in Pediatrics. Joan S Costello practices in Kaufman, TX and has the professional credentials of PNP. The NPI Number for Joan S Costello is 1952563876 and holds a License No. 070459 (Texas).

The current practice location address for Joan S Costello is 1011 W Grove St, Kaufman, TX and can be reached out via phone at 972-932-1319.

Location: 1011 W Grove St, Kaufman, TX, 75142-1882
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952563876
Provider Name
Joan S Costello
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
1011 W Grove St, Kaufman, TX, 75142-1882
Phone Number
972-932-1319
Fax Number
Provider Enumeration Date
07/01/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1952563876 05 MO
ENROLLED 05 IL
institution
Provider Business Practice Location Address Details
Address
1011 W Grove St
City
Kaufman
State
Texas
Zip
75142
Phone Number
972-932-1319
Fax Number
person
Provider Business Mailing Address Details
Address
1011 W Grove St
City
Kaufman
State
Texas
Zip
75142
Phone Number
972-932-1319
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
070459 (Missouri)
Definition
Definition to come...
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