MACKENZIE COSTELLO, CRNP
Nurse Practitioner - Family
Active
Individual
NPI: 1548797376
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse | 163W00000X | No | RN1033652 (DC) |
| Nurse Practitioner - Family | 363LF0000X | Yes | R227450 (MD) |
Frequently Asked Questions
NPI 1548797376 is the National Provider Identifier for MACKENZIE COSTELLO, CRNP, a Nurse Practitioner - Family provider located in Chester, MD. This NPI was enumerated on May 11, 2017.
MACKENZIE COSTELLO, CRNP practices at 1630 MAIN ST STE 101, Chester, MD 21619.
Quick Facts
- NPI
- 1548797376
- Type
- Individual
- Enumerated
- May 11, 2017
- Last Updated
- Aug 26, 2020
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