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Individual

MS. KRISTINA RENE COSTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, NNP-G

Contact information

Practice address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 365-5203
Mailing address
6316 BRIGHTSTAR DR, COLORADO SPRINGS, CO 80918-5539
(719) 265-9014

Taxonomy

Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
169022
CO
363LN0000X
Neonatal Nurse Practitioner
Primary
0990167
CO

Other

Enumeration date
05/02/2011
Last updated
09/01/2015
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