Individual
MS. ERICA ALEXANDER KOSTMAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
401 COWAN RD UNIT B, GULFPORT, MS 39507-2022
(228) 202-1144
Mailing address
401 COWAN RD UNIT B, GULFPORT, MS 39507-2022
(228) 202-1144
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
1-156402
AL
363LP0200X
Pediatric Nurse Practitioner
Primary
904935
MS
Other
Enumeration date
03/19/2021
Last updated
12/10/2021
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