Individual
EILEEN MEGHAN COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPN,CPNP-PC
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-0600
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-0600
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20152524
MA
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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