Individual
MRS. NANCY ELIZABETH COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
68 DARST RD, BEAVERCREEK, OH 45440-3442
(937) 531-0132
(937) 531-0134
Mailing address
68 DARST RD, BEAVERCREEK, OH 45440-3442
(937) 531-0132
(937) 531-0134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.011541
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
06/03/2013
Last updated
01/28/2021
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