Individual
NICHOLAS COSTANTINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2634 BLACKWOLF RUN LN, RALEIGH, NC 27604-5428
(714) 323-2906
Mailing address
2634 BLACKWOLF RUN LN, RALEIGH, NC 27604-5428
(714) 323-2906
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
331680
NC
Other
Enumeration date
06/19/2026
Last updated
06/19/2026
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