Individual provider · Type 1 NPI

Mary A. Costello, ANP

Nurse Practitioner · New York, NY

NPI number 1548426414 Active

Practice location

525 E 68th St Ste M404
New York, NY 10065-4870

Mailing address

160 W Camino Real # 255
Boca Raton, FL 33432-5942

Other practice locations

  • 2801 W Kk River Pkwy Ste 680, Milwaukee, WI 53215-3633 · (414) 385-1922
  • 3311 Riverbend Dr, Springfield, OR 97477-8800 · (541) 222-2868

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X201508795NP-PP (OR)
Adult Health Nurse Practitioner 363LA2200XC-APN.0001649-C-NP (CO)
Adult Health Nurse Practitioner 363LA2200X5004075 (NC)
Nurse Practitioner Primary 363L00000X100193 (WI)

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…

7 other providers at this address

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About NPI 1548426414

Mary A. Costello, ANP's National Provider Identifier is 1548426414, issued on Jul 31, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in New York, NY. The record was last updated on Jan 18, 2024.