Individual
CORRIE LYNN ASENCIO-COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
363 HIGHLAND AVE, FALL RIVER, MA 02720-3703
(508) 679-3131
Mailing address
186 PLAIN ST, REHOBOTH, MA 02769-2514
(774) 526-5533
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN276895
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN276895
MA
Other
Enumeration date
01/03/2022
Last updated
12/31/2024
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