Costa, Carrie Ann Mi
Costa, Carrie Ann Mi is an sole proprietor health care provider with primary practice located at 60 Westwood Ave Ste 100 , Waterbury CT 06708-2460. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Costa, Carrie Ann Mi can be contacted via phone (203) 578-4609.Contact Information
Primary practice address
60 Westwood Ave Ste 100
Waterbury CT 06708-2460
Phone: (203) 578-4609
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 459 | Connecticut |
Profile Details
| NPI number | 1538718952 |
|---|---|
| LBN Legal business name | Costa, Carrie Ann Mi |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 9th, 2019 |
| Last updated | Jun 24th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538718952 | NPPES |
| Connecticut | Other | 459 | CNM LICENSE |
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