Individual
HEATHER COSTANTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10281 MIDWAY DR, NEW MIDDLETOWN, OH 44442-7704
(330) 540-3483
Mailing address
10281 MIDWAY DR, NEW MIDDLETOWN, OH 44442-7704
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN382187
OH
163WH0200X
Home Health Registered Nurse
RN382187
OH
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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