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SHELLY DIANE KOSTINER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
17 LANGLEY BLVD, HAMPTON, VA 23681-4430
(757) 864-3193
Mailing address
807 N LISMORE CT, NEWPORT NEWS, VA 23602-9434
(757) 287-4971

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024170176
VA

Other

Enumeration date
07/16/2012
Last updated
05/28/2024
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