# MR. DAVID SIMEON COSTNER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1346542867
- **Gender:** Man
- **Credential:** APRN NP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 102425 | MT | Yes |
| 363L00000X | Nurse Practitioner | NUR-APRN-LIC-102425 | MT | — |

## Other

- **Enumeration date:** 12/04/2010
- **Last updated:** 04/24/2026