Individual
MRS. NISHANTHI BURNICE COSTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
2 CORPORATION WAY, PEABODY, MA 01960-7932
(978) 532-6111
Mailing address
25 BROOKSIDE LN, BURLINGTON, MA 01803-1001
(781) 350-0370
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2295823
MA
363LP2300X
Primary Care Nurse Practitioner
Primary
RN2295823
MA
Other
Enumeration date
04/06/2023
Last updated
08/06/2024
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