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Individual
TRISTA KOSTELLO
Active
Individual
TRISTA KOSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2015022116
MO
363LF0000X
Family Nurse Practitioner
Primary
2024043059
MO
Other
Enumeration date
09/26/2024
Last updated
11/26/2024
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