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Individual
DR. MADELINE COSTELLO
Active
Individual
DR. MADELINE COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
4704324936
MI
367500000X
Certified Registered Nurse Anesthetist
887917
NV
Other
Enumeration date
09/01/2022
Last updated
09/23/2025
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