Individual
MRS. JOANNE F COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN CDOE
Contact information
Practice address
610 WATERMAN AVE, EAST PROVIDENCE, RI 02914
(401) 435-7800
Mailing address
75 BAYBERRY LN, EAST GREENWICH, RI 02818-3420
(401) 884-8488
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
28225
RI
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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