Libby A Costello Gard in Missoula - Family
Libby A Costello Gard - NPI 1326239195
Libby A Costello Gard is a Family in Missoula, Montana. Libby A Costello Gard practices all healthcare services and medical treatments related to Family. The NPI Number for Libby A Costello Gard is 1326239195. The last update date is 2021-05-10.
Libby A Costello Gard's current location address is 1211 S Reserve St Ste 101, Missoula, Montana. You can contact this provider via phone number 4063273057 and fax number 4063273231. The mailing address for Libby A Costello Gard is 1211 S Reserve St Ste 101, Missoula, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Libby A Costello Gard |
|---|---|
| Address | 1211 S Reserve St Ste 101, Missoula, Montana |
| Phone Number | 4063273057 |
| Fax Number | 4063273231 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1326239195 |
|---|---|
| Provider Enumeration Date | 2007-08-07 |
| Last Updated Date | 2021-05-10 |
Provider Mailing Address Detail
| Address | 1211 S Reserve St Ste 101 |
|---|---|
| City | Missoula |
| State | Montana (MT) |
| Post Code | 598013103 |
| Phone Number | 4063273057 |
| Fax Number | 4063273231 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 200850014NP |
|
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 |
|---|---|---|---|
| 500616442 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Libby A Costello Gard by the Centers for Medicare & Medicaid Services?
The Libby A Costello Gard has been assigned the NPI (National Provider Identifier) 1326239195. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Libby A Costello Gard?
The Libby A Costello Gard is physically situated at 1211 S Reserve St Ste 101, in the city of Missoula, state of MT, with the postal code 598013103.
What is the Libby A Costello Gard's area of specialization and corresponding taxonomy classification?
The Libby A Costello Gard's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1326239195 to Libby A Costello Gard?
The Centers for Medicare & Medicaid Services assigned the 1326239195 to Libby A Costello Gard on 2007-08-07.
As of what date were the details related to Libby A Costello Gard most recently updated or revised?
The information pertaining to Libby A Costello Gard, including its address, specialty, and other relevant details, was last updated or revised on 2021-05-10.