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Individual

MELISSA DE COSTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2031 WILDERNESS POINT DR, KINGWOOD, TX 77339-2238
(832) 455-6468
Mailing address
2031 WILDERNESS POINT DR, KINGWOOD, TX 77339-2238
(832) 455-6468

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2302573
MA
163W00000X
Registered Nurse
RN767587
TX
363L00000X
Nurse Practitioner
Primary
AP141214
TX
363LA2100X
Acute Care Nurse Practitioner
AP141214
TX

Other

Enumeration date
03/09/2019
Last updated
02/06/2025
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