Merissa L Costello in North Chesterfield - Nurse Practitioner
Merissa L Costello - NPI 1780845362
Merissa L Costello is a Nurse Practitioner in North Chesterfield, Virginia. Merissa L Costello practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Merissa L Costello is 1780845362. The last update date is 2020-06-01.
Merissa L Costello's current location address is 1115 Boulders Pkwy Ste 200, North Chesterfield, Virginia. You can contact this provider via phone number 8045605595 and fax number 8045609029. The mailing address for Merissa L Costello is 1115 Boulders Pkwy Ste 200, North Chesterfield, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Merissa L Costello |
|---|---|
| Address | 1115 Boulders Pkwy Ste 200, North Chesterfield, Virginia |
| Phone Number | 8045605595 |
| Fax Number | 8045609029 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1780845362 |
|---|---|
| Provider Enumeration Date | 2008-06-17 |
| Last Updated Date | 2020-06-01 |
Provider Mailing Address Detail
| Address | 1115 Boulders Pkwy Ste 200 |
|---|---|
| City | North Chesterfield |
| State | Virginia (VA) |
| Post Code | 232254067 |
| Phone Number | 8045605595 |
| Fax Number | 8045609029 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 24167442 |
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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 |
|---|---|---|---|
| 12337630 | CAQH |
Post Comment/ Review Below
What is the Merissa L Costello's 1780845362?
The Merissa L Costello's NPI (National Provider Identifier) Number is 1780845362. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Merissa L Costello is physically located?
The Merissa L Costello is physically situated at the following address: 1115 Boulders Pkwy Ste 200, North Chesterfield, VA, 232254067.
What is Merissa L Costello's area of expertise and its corresponding taxonomy classification?
The Merissa L Costello's field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1780845362 to Merissa L Costello?
The Centers for Medicare & Medicaid Services originally issued the 1780845362 to Merissa L Costello on 2008-06-17.
When was the information regarding Merissa L Costello most recently updated?
The details pertaining to the Merissa L Costello, including its address, specialty, and other relevant information, were last refreshed on 2020-06-01.
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