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Individual

DAVID MORERA COSTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
410 KREBS DR, CHAMPAIGN, IL 61822-1144
(217) 480-7484
Mailing address
410 KREBS DR, CHAMPAIGN, IL 61822-1144
(217) 480-7484

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
PMHNP
IL

Other

Enumeration date
04/13/2026
Last updated
04/13/2026
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