Individual
MS. NANETTE K COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
155 MEMORIAL DR, PINEHURST, NC 28374-8710
(910) 715-1010
(910) 235-7913
Mailing address
155 MEMORIAL DR, PINEHURST, NC 28374-8710
(910) 715-1010
(910) 235-7913
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
318799
NC
363L00000X
Nurse Practitioner
Primary
APN001093
NV
367500000X
Certified Registered Nurse Anesthetist
Primary
6263
NC
Other
Enumeration date
03/04/2009
Last updated
08/07/2026
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