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MRS. JOY L COSTELLO LPN
>> Licensed Practical Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1124096938
Individual Registrant:MRS. JOY L COSTELLO LPN
Gender: F
Gender: F
Location and contact information for practice:
17347 PIPA RD PLEASANT CITY, OH 43772-9668 US
Tel: 740-685-0854 Fax: --
Tel: 740-685-0854 Fax: --
Contact information for business:
17613 EASTON RD SALESVILLE, OH 43778-9878 US
Tel: 740-489-9248 Fax: --
Tel: 740-489-9248 Fax: --
Registration Information:
NPI: 1124096938
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 164W00000X | Nursing Service Providers Licensed Practical Nurse | OH | PN-111149 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| PERSONAL PROVIDER NUMBER | 2364436 | OH | 01 |
