Individual provider · Type 1 NPI

Maxine Costa, APRN

Obstetrics & Gynecology Nurse Practitioner · Hartford, CT

NPI number 1851494942 Active

Practice location

19 Woodland Street, Suite 31
Hartford, CT 06105

Fax (860) 724-5224

Specialties and licenses

TaxonomyCodeLicense
Women's Health Clinical Nurse Specialist 364SW0102X000861 (CT)
Obstetrics & Gynecology Nurse Practitioner Primary 363LX0001X000861 (CT)

Obstetrics & Gynecology Nurse Practitioner: Definition to come...

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About NPI 1851494942

Maxine Costa, APRN's National Provider Identifier is 1851494942, issued on Sep 6, 2006. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Hartford, CT. The record was last updated on Jan 11, 2010.