Individual provider · Type 1 NPI

Johnna Suzanne Costello, FNP-C

Family Nurse Practitioner · Wichita, KS

NPI number 1184968133 Active

Practice location

3311 E Murdock St
Wichita, KS 67208-3054

Call (316) 689-9107 Map

Fax (316) 689-9354

Mailing address

PO Box 8035
Wichita, KS 67208-0035

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	53-75854-011 (KS)

Family Nurse Practitioner: Definition to come...

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About NPI 1184968133

Johnna Suzanne Costello, FNP-C's National Provider Identifier is 1184968133, issued on Nov 15, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Wichita, KS. The record was last updated on Sep 30, 2016.