Individual provider · Type 1 NPI

Kristine M. Costello, ANP

Family Nurse Practitioner · Godfrey, IL

NPI number 1922469402 Active

Practice location

5213 Godfrey Rd Ste 110
Godfrey, IL 62035-2510

Mailing address

670 Mason Ridge Center Dr, Ste 300
St. Louis, MO 63141-8573

Other practice locations

  • 5520 Godfrey Rd Ste B, Godfrey, IL 62035-2741 · (618) 463-7800

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X2016000994 (MO)
Family Nurse Practitioner Primary 363LF0000X209013674 (IL)

Family Nurse Practitioner: Definition to come...

16 other providers at this address

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About NPI 1922469402

Kristine M. Costello, ANP's National Provider Identifier is 1922469402, issued on Mar 11, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Godfrey, IL. The record was last updated on Sep 26, 2025.