Costa, Heather Ann

Costa, Heather Ann is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Cardiothoracic Surgery, Milwaukee WI 53226-3522. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Costa, Heather Ann can be contacted via phone (414) 955-6900.

Contact Information

Primary practice address
9200 W Wisconsin Ave Cardiothoracic Surgery Milwaukee WI 53226-3522
Phone: (414) 955-6900
Fax: (414) 955-6204
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 3397-23 Wisconsin

Profile Details

NPI number 1508261942
LBN Legal business name Costa, Heather Ann
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2014
Last updated Nov 18th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508261942 NPPES
Wisconsin MEDICAID 1508261942

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