Susanna Marie Costello, ARNP
Nurse Practitioner, Pediatrics in Zephyrhills, FL. Individual provider (NPI-1).
NPI number1982162673
StatusActive
Last updated in NPPESMar 12, 2019
Details
- NPI
- 1982162673
- Entity type
- Individual (NPI-1)
- Name
- Susanna Marie Costello
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 12, 2019
- Last updated
- Mar 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | ARNP11001077 | FL | Yes |
Practice location
38184 Medical Center AveZephyrhills, FL 33540-1380
Phone 813-715-2812 · Fax 813-715-2814
Mailing address
1725 Oakwood CtLutz, FL 33558-5218
Phone 813-267-7888
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