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

SHAWN KUDRIK COSTANZO, RN

Active Sole Proprietor

SHAWN KUDRIK COSTANZO, RN is a Registered Nurse healthcare provider located in OLD FORT, North Carolina. NPI 1235021783 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · OLD FORT, NC

Registration Details

NPI Number
1235021783
Provider Type
Individual
Gender
Female
NPI Issued
Jul 18, 2025 (1.0753292747835 yrs)
Last Updated
Jul 18, 2025
License
285954 (NC)
Sole Proprietor
Yes

Practice Information

Address
62 DENVER RIDGE RD
OLD FORT, NC, 287629785
Browse NC providers · Browse ZIP 28762
Phone
8287792269
Primary Specialty
Registered Nurse
163W00000X

Other Registered Nurse Providers in OLD FORT, NC

Name Credential NPI
JARED DOUGLAS GOUGE 1053878603
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.