Costley, Michelle Corona
Costley, Michelle Corona is an individual health care provider with primary practice located at Unimovil Unit 2102 Treasure Hills Blvd., #1.326 (Base), Harlingen TX 78550. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Costley, Michelle Corona can be contacted via phone (956) 296-1700.Contact Information
Primary practice address
Unimovil Unit 2102 Treasure Hills Blvd., #1.326 (Base)
Harlingen TX 78550
Phone: (956) 296-1700
Fax: (956) 296-1331
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 670483 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP13866 | Texas |
Profile Details
| NPI number | 1992009930 |
|---|---|
| LBN Legal business name | Costley, Michelle Corona |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2011 |
| Last updated | Apr 27th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992009930 | NPPES |
| Texas | MEDICAID | 286369805 | |
| Texas | Other | H08MK73201 |
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