Individual
MARIA KOSTANTACOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
1010 N WASHINGTON ST, JANESVILLE, WI 53548-1500
(608) 741-3800
(608) 741-3838
Mailing address
1010 N WASHINGTON ST, JANESVILLE, WI 53548-1500
(608) 741-3800
(608) 741-3838
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
041343430
IL
163WR0006X
Registered Nurse First Assistant
148040
WI
363LF0000X
Family Nurse Practitioner
Primary
5492-33
WI
Other
Enumeration date
09/23/2009
Last updated
10/02/2013
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