Individual
SHARON CLAIR COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11 EAST ST, BENTON, ME 04901-3309
(207) 453-4708
(207) 453-6250
Mailing address
11 EAST ST, BENTON, ME 04901-3309
(207) 453-4708
(207) 453-6250
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN38869
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010491217
MAINE
ME
Enumeration date
11/02/2017
Last updated
11/02/2017
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