Individual provider · Type 1 NPI

Phyllis Pelfrey Costello, MSN

Nurse Practitioner · Augusta, GA

NPI number 1487081261 Active

Practice location

3647 J Dewey Gray Cir Ste 200
Augusta, GA 30909-2205

Fax (706) 504-9703

Mailing address

PO Box 3548
Augusta, GA 30914-3548

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XRN158279 (GA)
Nurse Practitioner Primary 363L00000XRN158279 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1487081261

Phyllis Pelfrey Costello, MSN's National Provider Identifier is 1487081261, issued on Oct 11, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Augusta, GA. The record was last updated on Feb 9, 2022.