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

MR. MATTHEW D COSTELLO

Active Sole Proprietor

MR. MATTHEW D COSTELLO is a Certified Nurse Anesthetist (CRNA) healthcare provider located in PICKERINGTON, Ohio. NPI 1538739693 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · PICKERINGTON, OH

Registration Details

NPI Number
1538739693
Provider Type
Individual
Gender
Male
NPI Issued
Jun 30, 2021 (5.129266968903 yrs)
Last Updated
Sep 26, 2022
Licenses
RN.418095 (OH)
APRN.CRNA.0020479 (OH)
Sole Proprietor
Yes

Practice Information

Address
612 JILLIAN FRANCES CIR
PICKERINGTON, OH, 431471566
Browse OH providers · Browse ZIP 43147
Phone
3305505814
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in PICKERINGTON, OH

Name Credential NPI
AMANDA SMIDT CRNA 1457955338
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.