Individual provider · Type 1 NPI
Nicole Kostarellas, PA-C
Medical Physician Assistant · Everett, MA
NPI number
1083847628
Active
Practice location
103 Garland St
Everett, MA 02149-5066
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 3822 (MA) |
Medical Physician Assistant: Definition to come...
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About NPI 1083847628
Nicole Kostarellas, PA-C's National Provider Identifier is 1083847628, issued on Aug 31, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Everett, MA. The record was last updated on Sep 11, 2009.