Individual
EDUARDO COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
1420 S MAIN ST, CULPEPER, VA 22701-3431
(540) 825-2202
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024190536
VA
363L00000X
Nurse Practitioner
71006025A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932560240
—
VA
05
—
201355580
—
IN
Enumeration date
03/14/2016
Last updated
02/19/2025
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