Individual
JULIE MARIE KOSTILNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2800 GODWIN BLVD, SUFFOLK, VA 23434-8038
(757) 934-4000
Mailing address
2800 GODWIN BLVD FL 1, SUFFOLK, VA 23434-8038
(757) 934-4821
(757) 934-4276
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024190546
VA
Other
Enumeration date
07/03/2024
Last updated
10/15/2024
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