Individual
ALYSSA M COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
3535 OLENTANGY RIVER RD, COLUMBUS, OH 43214-3908
(614) 884-0641
(614) 884-0776
Mailing address
5151 REED RD, SUITE 225-C, COLUMBUS, OH 43220-2595
(614) 884-0641
(614) 884-0776
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.14325
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0083338
—
OH
01
—
350634
LICENSE RN
OH
Enumeration date
02/22/2013
Last updated
11/05/2024
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