Individual provider · Type 1 NPI

Mackenzie Costello, CRNP

Family Nurse Practitioner · Chester, MD

NPI number 1548797376 Active

Practice location

1630 Main St Ste 101
Chester, MD 21619-2792

Fax (410) 643-5789

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN1033652 (DC)
Family Nurse Practitioner Primary 363LF0000XR227450 (MD)

Family Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1548797376

Mackenzie Costello, CRNP's National Provider Identifier is 1548797376, issued on May 11, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chester, MD. The record was last updated on Aug 26, 2020.