Individual
JENNA MARIANNA COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN/CRNA
Contact information
Practice address
5352 LINTON BLVD, DELRAY BEACH, FL 33484-6514
(561) 498-4440
Mailing address
445 NE 37TH ST, BOCA RATON, FL 33431-5925
(862) 377-8564
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9487244
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11004317
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN11004317
STATE LICENSE
FL
Enumeration date
09/08/2019
Last updated
12/06/2024
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