Individual
MEGAN L. COSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
452 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-8536
(614) 293-8902
Mailing address
700 ACKERMAN RD STE 570, COLUMBUS, OH 43202-1579
(614) 293-7564
(614) 293-3320
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.344104
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.023830
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0331461
—
OH
Enumeration date
10/10/2018
Last updated
01/30/2019
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