Individual provider · Type 1 NPI
Tracey Anne Costantino, NP
Family Nurse Practitioner · Boston, MA
NPI number
1295779890
Active
Practice location
300 Longwood Ave
Boston, MA 02115-5724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 211483 (MA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1295779890
Tracey Anne Costantino, NP's National Provider Identifier is 1295779890, issued on Jun 15, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Boston, MA. The record was last updated on Jun 18, 2026.