Individual
MERLY NATALIA COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12301 WILSHIRE BLVD, LOS ANGELES, CA 90025-1007
(888) 684-2779
Mailing address
532 WINDRUSH DR, DAVENPORT, FL 33897-5944
(863) 640-5626
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11033702
FL
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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