Individual provider · Type 1 NPI
Peter Costello
Psychiatric/Mental Health Nurse Practitioner · Brookfield, IL
NPI number
1952288946
Active
Practice location
4235 Elm Ave
Brookfield, IL 60513-1903
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209.032933 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1952288946
Peter Costello's National Provider Identifier is 1952288946, issued on Aug 20, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Brookfield, IL. The record was last updated on Aug 20, 2025.