Costelle, Devan

Costelle, Devan is an individual health care provider with primary practice located at 201 Abraham Flexner Way , Louisville KY 40202-3841. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Costelle, Devan can be contacted via phone (502) 718-2877.

Contact Information

Primary practice address
201 Abraham Flexner Way Louisville KY 40202-3841
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 3013580 Kentucky

Profile Details

NPI number 1962055319
LBN Legal business name Costelle, Devan
Credentials RN, APRN, AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2019
Last updated Aug 23rd, 2019 - about 6 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.

Request for update

Popular Providers