Individual
VERONICA COSTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 853-5000
Mailing address
2737 AMBER CREST DR, GASTONIA, NC 28052-3732
(704) 853-5000
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
242447
NC
163WA2000X
Administrator Registered Nurse
3303391
NY
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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