DEVAN COSTELLE

LOUISVILLE, KY
NPI1962055319
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: KY  3013580)
Enumeration Date2019-07-24
Last Update Date2019-08-23
Business Address
DEVAN COSTELLE RN, APRN, AGACNP-BC
201 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202-3841
Phone number: 502-718-2877
Mailing Address
DEVAN COSTELLE RN, APRN, AGACNP-BC
PO BOX 909
LOUISVILLE, KY 40201-0909
Phone number: 502-588-0325