Individual
MR. JOSEPH L COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
460 RIVER AVE, WILLIAMSPORT, PA 17701
(570) 213-5221
(570) 227-3316
Mailing address
100 N ACADEMY AVE, CREDENTIALS DEPT, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP012744
PA
Other
Enumeration date
02/06/2013
Last updated
09/05/2018
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