Mrs. DIANE MARIE COSTA NP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Gerontology
Provider Information
- NPI Number
1881902096- Provider Type
- Individual Provider (NPI-1)
- Credentials
- NP
- Status
- Active
Contact & Location
- Address
- 42 BASSWOOD DR, BRISTOL, RI, 028094912
- Phone
- (401) 424-1825
- Fax
- (937) 606-3077
Specialties & Taxonomies
Psychiatry & Neurology, Psychiatry
License: RI #CAPRN01044
Nurse Practitioner, Gerontology
Primary License: RI #NPP37575