NATHAN M KOSTIV

CARMICHAEL, CA
NPI1023594579
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: CA  95009504)
Enumeration Date2018-07-18
Last Update Date2020-01-09
Business Address
NATHAN M KOSTIV NNP-BC
6501 COYLE AVE
CARMICHAEL, CA 95608-0306
Phone number: 916-537-5135
Mailing Address
NATHAN M KOSTIV NNP-BC
6501 COYLE AVE
CARMICHAEL, CA 95608-0306
Phone number: