Individual
MS. YARDLEY ANN COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
301 SPRING GARDEN RD, HAMMONTON, NJ 08037-9699
(609) 561-1700
Mailing address
3501 S LINCOLN AVE UNIT 13, VINELAND, NJ 08361-7701
(856) 974-0293
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NC07415300
NJ
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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