Costella, Amanda
Costella, Amanda is an individual health care provider with primary practice located at 267 Grant St , Bridgeport CT 06610-2805. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Costella, Amanda can be contacted via phone (203) 384-4677.Contact Information
Primary practice address
267 Grant St
Bridgeport CT 06610-2805
Phone: (203) 384-4677
Fax: (203) 384-3135
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 7888 | Connecticut |
Profile Details
| NPI number | 1245705516 |
|---|---|
| LBN Legal business name | Costella, Amanda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2018 |
| Last updated | Dec 19th, 2019 - about 7 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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