Individual
NATHAN M KOSTIV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NNP-BC
Contact information
Practice address
6501 COYLE AVE, CARMICHAEL, CA 95608-0306
(916) 537-5135
Mailing address
6501 COYLE AVE, CARMICHAEL, CA 95608-0306
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
95009504
CA
Other
Enumeration date
07/18/2018
Last updated
01/09/2020
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