Individual
JULIE COSTELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC, CNML
Contact information
Practice address
1 HOSPITAL PLZ, STAMFORD, CT 06902-3602
(203) 273-6640
Mailing address
81 CLEARVIEW DR, BROOKFIELD, CT 06804-1449
(203) 648-0683
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
134748
CT
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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