Individual
EILEEN COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
807 STARK ST, AUSTIN, TX 78756-1508
(512) 452-2506
Mailing address
807 STARK ST, AUSTIN, TX 78756-1508
(512) 452-2506
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP140432
TX
Other
Enumeration date
03/26/2019
Last updated
08/01/2024
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