Individual
LAURA MICHELLE KOSTURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
759 CHESTNUT ST, WG820, SPRINGFIELD, MA 01107-1619
(413) 794-5307
(413) 794-8430
Mailing address
280 CHESTNUT ST, 2ND FL, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN2278870
MA
367A00000X
Advanced Practice Midwife
2278870
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110093316A
—
MA
Enumeration date
06/02/2009
Last updated
12/08/2017
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