Individual provider · Type 1 NPI
Fernanda Costa, ACNPC-AG
Acute Care Nurse Practitioner · Marietta, GA
NPI number
1609236553
Active
Practice location
55 Whitcher St NE
Marietta, GA 30060-1155
Fax (770) 427-8001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 208111 (GA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1609236553
Fernanda Costa, ACNPC-AG's National Provider Identifier is 1609236553, issued on Mar 3, 2016. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Marietta, GA. The record was last updated on Mar 3, 2016.