Individual
MARGARET LYNN DECOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1600 NE 1ST AVE APT 2808, MIAMI, FL 33132-1272
(772) 285-1757
Mailing address
1600 NE 1ST AVE APT 2808, MIAMI, FL 33132-1272
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11024876
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11024876
LICENSE TYPE: ADVANCED PRACTICE REGISTERED NURSE
FL
Enumeration date
02/28/2023
Last updated
02/28/2023
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