Individual
KATHARINE COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
1000 BROAD ST, CENTRAL FALLS, RI 02863-1507
(401) 722-0081
(401) 312-0318
Mailing address
39 EAST AVE, PAWTUCKET, RI 02860-4003
(401) 316-6345
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
926479
TX
163WP0200X
Pediatric Registered Nurse
RN63417
RI
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN02106
RI
Other
Enumeration date
08/09/2018
Last updated
06/27/2022
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