Audra Costello
Health Educator in New Bedford, MA. Individual provider (NPI-1).
NPI number1366904005
StatusActive
Last updated in NPPESApr 2, 2019
Details
- NPI
- 1366904005
- Entity type
- Individual (NPI-1)
- Name
- Audra Costello
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2019
- Last updated
- Apr 2, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174H00000X | Health Educator | – | – | Yes |
Practice location
128 Union StSte 204
New Bedford, MA 02740
Phone 508-996-9622
Mailing address
288 Stonehaven RdFall River, MA 02723-3533
Phone 508-674-2302
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