Individual
MRS. NANCY LYNN COSTEN
Active
Individual
MRS. NANCY LYNN COSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP/RN/MSN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
114204-030
WI
363L00000X
Nurse Practitioner
3140-033
WI
363LA2200X
Adult Health Nurse Practitioner
Primary
AP128186
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36044500
—
WI
Enumeration date
09/07/2007
Last updated
10/16/2015
Update your record
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