Individual
NICOLE COSTA MCJILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-6161
Mailing address
1001 26TH ST NW APT 404, WASHINGTON, DC 20037-1603
(247) 502-7966
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN1054771
DC
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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