Charles Mark Costabell in Louisville - Nurse Anesthetist, Certified Registered
Charles Mark Costabell - NPI 1952346025
Charles Mark Costabell is a Nurse Anesthetist, Certified Registered in Louisville, Kentucky. Charles Mark Costabell practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Charles Mark Costabell is 1952346025. The last update date is 2018-04-05.
Charles Mark Costabell's current location address is 100 E Liberty St Ste 800, Louisville, Kentucky. You can contact this provider via phone number 5025874404 and fax number 5025874156. The mailing address for Charles Mark Costabell is 100 E Liberty St Ste 800, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Mark Costabell |
|---|---|
| Address | 100 E Liberty St Ste 800, Louisville, Kentucky |
| Phone Number | 5025874404 |
| Fax Number | 5025874156 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1952346025 |
|---|---|
| Provider Enumeration Date | 2006-06-20 |
| Last Updated Date | 2018-04-05 |
Provider Mailing Address Detail
| Address | 100 E Liberty St Ste 800 |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402021428 |
| Phone Number | 5025874404 |
| Fax Number | 5025874156 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 3004487 |
|
Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200510850 | IN | -- | |
| 74010026 | KY | -- |
Post Comment/ Review Below
What is the Charles Mark Costabell's unique identification number?
The Charles Mark Costabell has been assigned the NPI (National Provider Identifier) Number 1952346025 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Charles Mark Costabell is located?
The Charles Mark Costabell is situated at the following address: 100 E Liberty St Ste 800, Louisville, KY, 402021428.
What is Charles Mark Costabell's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Charles Mark Costabell's specialized field of practice is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this area of specialization is 367500000X.
On what date did the Charles Mark Costabell receive the assignment of its 1952346025 from the Centers for Medicare & Medicaid Services?
The Charles Mark Costabell was issued its 1952346025 by the Centers for Medicare & Medicaid Services on 2006-06-20.
As of what date were the details related to Charles Mark Costabell most recently updated or revised?
The information pertaining to Charles Mark Costabell, including its address, specialty, and other relevant details, was last updated or revised on 2018-04-05.
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