Costa, Katherine Elizabeth

Costa, Katherine Elizabeth is an individual health care provider with primary practice located at 14780 W Mountain View Blvd Suite 110, Surprise AZ 85374-4799. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Costa, Katherine Elizabeth can be contacted via phone (623) 374-7774.

Contact Information

Primary practice address
14780 W Mountain View Blvd Suite 110 Surprise AZ 85374-4799
Phone: (623) 374-7774
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X R862053 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP3211 Arizona

Profile Details

NPI number 1215014485
LBN Legal business name Costa, Katherine Elizabeth
Credentials ACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Sep 17th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215014485 NPPES
Mississippi Other P00143146 MEDICARE UNITEDHEALTHCARE
Mississippi MEDICAID 05132705 MEDICARE UNITEDHEALTHCARE

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