Individual
MR. HAYDEN J COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
363 HIGHLAND AVE, FALL RIVER, MA 02720-3703
(508) 973-7041
Mailing address
127 BOLDUCS LN, TIVERTON, RI 02878-2657
(401) 418-0469
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2325988
MA
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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