MAXINE COSTA APRN NPI 1851494942

NPI Information

NPI: 1851494942
Provider Name: MAXINE COSTA, APRN
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

PECOS Registration: Yes

Address:
19 WOODLAND STREET
SUITE 31
HARTFORD, CT
ZIP 06105
Phone: (860) 728-1212
Get Directions

Maxine Costa, APRN is an obstetrics and gynecology nurse practitioner in Hartford, CT. Maxine Costa, APRN NPI is 1851494942. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

19 WOODLAND STREET
SUITE 31
HARTFORD, CT
ZIP 06105
Phone: (860) 728-1212
Fax: (860) 724-5224

The NPI 1851494942 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/6/2006 and was last updated on 1/11/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SW0102X	Clinical Nurse Specialist	Women's Health	000861	CONNECTICUT	No
2	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	000861	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	P12594	MEDICARE UPIN
2	890000281	MEDICARE ID-TYPE UNSPECIFIED
3	004207719	MEDICAID	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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