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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DAVID COSTELLO, C.R.N.P.

Active Sole Proprietor

Family Nurse Practitioner · GULFPORT, MS

Registration Details

NPI Number
1104053420
Provider Type
Individual
Gender
Male
NPI Issued
Jun 12, 2009 (16.890141888914 yrs)
Last Updated
Aug 9, 2022
Licenses
1-064521 (AL)
904287 (MS)
Sole Proprietor
Yes

Practice Information

Address
4300 15TH ST
GULFPORT, MS, 395012524
Browse MS providers · Browse ZIP 39501
Phone
2288640828
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in GULFPORT, MS

Name Credential NPI
MRS. PRISCILLA M. RENWICK NURSE PRACTITIONER 1861499592
STEPHANIE D ROMERO CFNP 1710976162
LINNEA R LAKE CFNP 1770550618
LUELLA A WILLIAMS CFNP 1144297755
GREGORY PARKER CFNP 1073574687
PAULETTE DAWKINS C.F.N.P. 1912012121
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.