Individual provider · Type 1 NPI

Vaneska Bottino Da Costa, MD

Pediatric Critical Care Medicine Physician · Fort Wayne, IN

NPI number 1003292525 Active

Practice location

7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140

Fax (260) 435-9763

Mailing address

6920 Pointe Inverness Way Ste 200
Fort Wayne, IN 46804-7934

Other practice locations

  • 4845 Alameda Ave, El Paso, TX 79905-2705 · (915) 215-5700
  • 1901 1st Ave, New York, NY 10029-7404 · (212) 423-7834

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X01091713A (IN)
Pediatric Critical Care Medicine Physician Primary 2080P0203XT1020 (TX)

Pediatric Critical Care Medicine Physician: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates…

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About NPI 1003292525

Vaneska Bottino Da Costa, MD's National Provider Identifier is 1003292525, issued on Aug 6, 2015. The primary taxonomy on file is Pediatric Critical Care Medicine Physician (2080P0203X), and the practice location is in Fort Wayne, IN. The record was last updated on Nov 13, 2023.