Individual
MR. LEONARDO FILIPE COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
180 CORLISS ST STE C, PROVIDENCE, RI 02904-2602
(401) 793-4636
(401) 793-4639
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN52152
RI
363LF0000X
Family Nurse Practitioner
Primary
APRN03067
RI
Other
Enumeration date
09/06/2013
Last updated
05/19/2022
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