# REBECCA JO KOSTYO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1023172673
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 3004449 | KY | Yes |
| 363L00000X | Nurse Practitioner | 71006195A | IN | — |

## Other

- **Enumeration date:** 12/20/2006
- **Last updated:** 04/28/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000641811 | NRP/ANTHEM | — |
| 01 | — | 000000643662 | NOTC/ANTHEM | — |
| 01 | — | 000052152Z | NOTC/HUMANA | — |
| 01 | — | 110584 | NOTC./SIHO | — |
| 05 | — | 201289910 | — | IN |
| 01 | — | 3764310000 | NOTC/PAD | — |
| 01 | — | 50027236 | NOTC/PHP | — |
| 05 | — | 7100099350 | — | KY |
| 01 | — | 9769702 | NRP/CIGNA | — |