Individual
ANDREW JASON COSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5069
(575) 522-8641
Mailing address
4161 PURPLE SAGE DR, LAS CRUCES, NM 88011-4377
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA-01536
NM
Other
Enumeration date
03/12/2018
Last updated
07/23/2023
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