Individual provider · Type 1 NPI

Megan Christine Costa, ACNP

Gerontology Nurse Practitioner · St. Louis, MO

NPI number 1669078861 Active

Practice location

4921 Parkview Pl, Div Surg Plastics, Ste 6G
St. Louis, MO 63110-1032

Fax (314) 367-0225

Mailing address

660 S Euclid Ave, Msc 8238-43-1150
St. Louis, MO 63110-1010

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X2020033731 (MO)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1669078861

Megan Christine Costa, ACNP's National Provider Identifier is 1669078861, issued on Dec 11, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in St. Louis, MO. The record was last updated on Nov 15, 2021.