Erin R Costanzo is a Family in Villa Rica, Georgia. Erin R Costanzo practices all healthcare services and medical treatments related to Family. The NPI Number for Erin R Costanzo is 1649244997. The last update date is 2010-01-19.
Erin R Costanzo's current location address is Po Box 608, Villa Rica, Georgia. You can contact this provider via phone number 7704594411 and fax number 7704592424. The mailing address for Erin R Costanzo is Po Box 608, Villa Rica, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Erin R Costanzo |
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Address | Po Box 608, Villa Rica, Georgia |
Phone Number | 7704594411 |
Fax Number | 7704592424 |
Sole Proprietor | N |
Credentials | APRN FNPC |
NPI Number Detail
NPI Number | 1649244997 |
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Provider Enumeration Date | 2006-02-14 |
Last Updated Date | 2010-01-19 |
Provider Mailing Address Detail
Address | Po Box 608 |
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City | Villa Rica |
State | Georgia (GA) |
Post Code | 30180 |
Phone Number | 7704594411 |
Fax Number | 7704592424 |
Provider's Primary Taxonomy Detail
Speciality | Family |
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Taxonomy | 363Lf0000X |
Licence No | RN146776NP |
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
453616500A | GA | -- | |
453616500B | GA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Erin R Costanzo?
The Erin R Costanzo has been issued the NPI (National Provider Identifier) 1649244997 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Erin R Costanzo is located?
The Erin R Costanzo is situated at the following address: Po Box 608, Villa Rica, GA, 30180.
What is Erin R Costanzo's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Erin R Costanzo is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1649244997 to Erin R Costanzo?
The Erin R Costanzo received its 1649244997 assignment from the Centers for Medicare & Medicaid Services on 2006-02-14.
As of what date were the Erin R Costanzo's details last updated?
The information pertaining to the Erin R Costanzo, including its address, specialty, and other details, was most recently updated on 2010-01-19.