Individual
BRIAN COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
479 SWANSEA MALL DR, SWANSEA, MA 02777-4119
(508) 973-1570
(508) 993-1545
Mailing address
200 MILL RD, FAIRHAVEN, MA 02719-5252
(508) 973-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2264166
MA
Other
Enumeration date
08/15/2016
Last updated
09/08/2024
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