Individual
ABIGALE COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
504 LIPPINCOTT DR, MARLTON, NJ 08053-4802
(856) 751-9560
Mailing address
5 FOXBORO CT, VOORHEES, NJ 08043-3919
(973) 479-5266
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01363300
NJ
363LF0000X
Family Nurse Practitioner
26NJ01363300
NJ
Other
Enumeration date
09/12/2022
Last updated
03/14/2024
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