Individual provider · Type 1 NPI
Crystal Jean Nicole Costa
Adult Psychiatric/Mental Health Registered Nurse · Antioch, CA
NPI number
1245609395
Active
Practice location
4732 Dundee St
Antioch, CA 94531-9449
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | 95029245 (CA) |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
About NPI 1245609395
Crystal Jean Nicole Costa's National Provider Identifier is 1245609395, issued on Sep 18, 2015. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Antioch, CA. The record was last updated on Dec 3, 2015.