Individual provider · Type 1 NPI

Kathleen M. Costello, C.R.N.P.

Adult Health Nurse Practitioner · Baltimore, MD

NPI number 1740408020 Active

Practice location

600 N Wolfe St, Pathology Bldg - Rm 625
Baltimore, MD 21287-0005

Call (410) 614-1066 Map

Fax (410) 502-6736

Mailing address

PO Box 64227
Baltimore, MD 21264-4227

Specialties and licenses

Taxonomy	Code	License
Adult Health Nurse Practitioner Primary	363LA2200X	R069246 (MD)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1740408020

Kathleen M. Costello, C.R.N.P.'s National Provider Identifier is 1740408020, issued on Apr 23, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Baltimore, MD. The record was last updated on May 20, 2011.