Leonardo Filipe Costa, NP
Nurse Practitioner, Family in Providence, RI. Individual provider (NPI-1).
NPI number1124453386
StatusActive
Last updated in NPPESMay 19, 2022
Details
- NPI
- 1124453386
- Entity type
- Individual (NPI-1)
- Name
- Mr. Leonardo Filipe Costa
- Credential
- NP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 6, 2013
- Certification date
- May 19, 2022
- Last updated
- May 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN03067 | RI | Yes |
| 163W00000X | Registered Nurse | RN52152 | RI |
Practice location
180 Corliss St Ste CProvidence, RI 02904-2602
Phone 401-793-4636 · Fax 401-793-4639
Mailing address
117 Ellenfield St Ste 101Providence, RI 02905-4541
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