Carla C Costello, FNP
NPI #1356657746 in Lake Providence, Louisiana
Provider Information
- NPI Number
- 1356657746
- Entity Type
- Individual
- Name
- Carla C Costello, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Aug 24, 2010
- Last Updated
- Oct 16, 2019
Practice Location
- Address
- 320 N HOOD ST
- City
- Lake Providence
- State
- Louisiana
- ZIP Code
- 71254-2140
- Phone
- (318) 559-2404
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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