Individual
MRS. CARRIE LYN KOSTYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
16980 DALLAS PKWY, SUITE 200, DALLAS, TX 75248-1908
(972) 391-1915
(972) 391-2061
Mailing address
16980 DALLAS PKWY, SUITE 200, DALLAS, TX 75248-1908
(972) 391-1915
(972) 391-2061
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP122867
TX
Other
Enumeration date
01/09/2013
Last updated
03/04/2016
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