Mary A Costello in Mooresville - Nurse Practitioner
Mary A Costello - NPI 1548426414
Mary A Costello is a Nurse Practitioner in Mooresville, North Carolina. Mary A Costello practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Mary A Costello is 1548426414. The last update date is 2023-10-27.
Mary A Costello's current location address is 110 Archbell Point Ln, Mooresville, North Carolina. You can contact this provider via phone number 7042521579. The mailing address for Mary A Costello is 110 Archbell Point Ln, Mooresville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary A Costello |
|---|---|
| Address | 110 Archbell Point Ln, Mooresville, North Carolina |
| Phone Number | 7042521579 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | ANP |
NPI Number Detail
| NPI Number | 1548426414 |
|---|---|
| Provider Enumeration Date | 2008-07-31 |
| Last Updated Date | 2023-10-27 |
Provider Mailing Address Detail
| Address | 110 Archbell Point Ln |
|---|---|
| City | Mooresville |
| State | North Carolina (NC) |
| Post Code | 281175971 |
| Phone Number | 7042521579 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 100193 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7004305 | NC | -- | |
| NP1325 | SC | -- | |
| 100223521 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mary A Costello by the Centers for Medicare & Medicaid Services (CMS)?
The Mary A Costello has been assigned the NPI (National Provider Identifier) 1548426414. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Mary A Costello's physical address?
The Mary A Costello is physically located at 110 Archbell Point Ln, in the city of Mooresville, NC, with the postal code 281175971.
What is Mary A Costello's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mary A Costello's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.
On what date did the Mary A Costello receive its 1548426414 assignment from the Centers for Medicare & Medicaid Services?
The Mary A Costello was assigned its 1548426414 by the Centers for Medicare & Medicaid Services on 2008-07-31.
As of what date were the details pertaining to Mary A Costello last refreshed?
The information related to the Mary A Costello, including its address, specialty, and other relevant details, was last updated on 2023-10-27.