Individual provider · Type 1 NPI

Kimberly J. Costa, NP

Adult Health Nurse Practitioner · Medford, MA

NPI number 1912957887 Active

Practice location

101 Main St, Suite 214
Medford, MA 02155-4540

Fax (781) 391-6224

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X251684 (MA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1912957887

Kimberly J. Costa, NP's National Provider Identifier is 1912957887, issued on May 11, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Medford, MA. The record was last updated on Jul 13, 2026.