Costella, Carolyn S
Costella, Carolyn S is an individual health care provider with primary practice located at 1010 Kings Hwy S Ste 2101 , Cherry Hill NJ 08034-2524. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Costella, Carolyn S can be contacted via phone (856) 208-7300.Contact Information
Primary practice address
1010 Kings Hwy S Ste 2101
Cherry Hill NJ 08034-2524
Phone: (856) 208-7300
Fax: (856) 254-0019
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 26NJ00041700 | New Jersey |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 26NJ00041700 | New Jersey |
| Nursing Service Providers / Registered Nurse | 163W00000X | 26NR10857800 | New Jersey |
Profile Details
| NPI number | 1417085846 |
|---|---|
| LBN Legal business name | Costella, Carolyn S |
| Credentials | MSN APRN BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Jun 2nd, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417085846 | NPPES |
| New Jersey | MEDICAID | 0183946 | |
| New Jersey | MEDICAID | 0305715 |
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