Individual
MARGARET IRENE COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ARNP
Contact information
Practice address
6420 PROSPECT AVE, SUITE T407, KANSAS CITY, MO 64132-4147
(816) 333-5424
Mailing address
7617 MAPLE, PRAIRIE VILLAGE, KS 66208-4749
(913) 953-9291
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-87361-081
KS
163W00000X
Registered Nurse
2009026203
MO
363LA2200X
Adult Health Nurse Practitioner
2009032629
MO
363LA2200X
Adult Health Nurse Practitioner
Primary
53-74998-081
KS
Other
Enumeration date
10/20/2009
Last updated
11/19/2009
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