Individual
MRS. ALEXA NICHOLLS COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
55 FRUIT ST, MGH EMERGENCY DEPARTMENT, BOSTON, MA 02114-2621
(978) 766-8203
Mailing address
55 FRUIT ST, MGH EMERGENCY DEPARTMENT, BOSTON, MA 02114-2621
(978) 766-8203
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN00711
RI
363LF0000X
Family Nurse Practitioner
Primary
RN2290979
MA
Other
Enumeration date
06/30/2015
Last updated
08/25/2016
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