Abigale Costa, NP
Nurse Practitioner in Marlton, NJ. Individual provider (NPI-1).
NPI number1760103394
StatusActive
Last updated in NPPESMar 14, 2024
Details
- NPI
- 1760103394
- Entity type
- Individual (NPI-1)
- Name
- Abigale Costa
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 12, 2022
- Certification date
- Mar 14, 2024
- Last updated
- Mar 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 26NJ01363300 | NJ | Yes |
| 363LF0000X | Nurse Practitioner, Family | 26NJ01363300 | NJ |
Practice location
504 Lippincott DrMarlton, NJ 08053-4802
Phone 856-751-9560
Mailing address
5 Foxboro CtVoorhees, NJ 08043-3919
Phone 973-479-5266
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All 31 Nurse Practitioner providers in Marlton · All 2,303 providers in Marlton
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