Individual provider · Type 1 NPI

Lisa Costa, CNP

Psychiatric/Mental Health Nurse Practitioner · Pembroke, MA

NPI number 1790335214 Active

Practice location

20 Winter St
Pembroke, MA 02359-4965

Mailing address

79 Barstow Ave
Norwell, MA 02061-2831

Other practice locations

  • 79 Barstow Ave, Norwell, MA 02061-2831 · (781) 704-5286

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X197629 (MA)
Nurse Practitioner 363L00000X197629 (MA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XRN197629 (MA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1790335214

Lisa Costa, CNP's National Provider Identifier is 1790335214, issued on Sep 17, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Pembroke, MA. The record was last updated on May 8, 2025.