Individual
STEPHANIE MARIE COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
566 TOLL GATE RD, WARWICK, RI 02886-2799
(401) 738-4800
(401) 738-8153
Mailing address
175 PARAMOUNT DR UNIT 203, RAYNHAM, MA 02767-1066
(774) 320-3040
(508) 910-2204
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN01808
RI
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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