Individual provider · Type 1 NPI
Devan Costelle, RN, APRN, AGACNP-BC
Gerontology Nurse Practitioner · Louisville, KY
NPI number
1962055319
Active
Practice location
201 Abraham Flexner Way
Louisville, KY 40202-3841
Mailing address
PO Box 909
Louisville, KY 40201-0909
Other practice locations
- 530 S Jackson St, Louisville, KY 40202-1675 · (502) 718-2877
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 3013580 (KY) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1962055319
Devan Costelle, RN, APRN, AGACNP-BC's National Provider Identifier is 1962055319, issued on Jul 24, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Louisville, KY. The record was last updated on Aug 23, 2019.