Individual provider · Type 1 NPI

Nicole Costello, PA-C

Physician Assistant · Waterville, ME

NPI number 1194403600 Active

Practice location

211 Main Street
Waterville, ME 04901

Fax (207) 872-7910

Other practice locations

  • 1260 Elm St, Manchester, NH 03101-1305 · (603) 314-1701

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA2633 (ME)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1194403600

Nicole Costello, PA-C's National Provider Identifier is 1194403600, issued on Jul 6, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Waterville, ME. The record was last updated on May 15, 2025.