ED COSTA

INDIANAPOLIS, IN
NPI1932560240
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71006025A)
Enumeration Date2016-03-14
Last Update Date2017-04-18
Business Address
-- ED COSTA N.P.
8177 CLEARVISTA PKWY
INDIANAPOLIS, IN 46256-1662
Phone number: 317-621-7801
Mailing Address
-- ED COSTA N.P.
6626 E 75TH ST SUITE 500
INDIANAPOLIS, IN 46250-2805
Phone number:
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