Individual provider · Type 1 NPI

Carla C. Costello, FNP

Family Nurse Practitioner · Lake Providence, LA

NPI number 1356657746 Active

About NPI 1356657746

Carla C. Costello, FNP's National Provider Identifier is 1356657746, issued on Aug 24, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lake Providence, LA. The record was last updated on Oct 16, 2019.