MAXINE COSTA APRN NPI 1851494942

NPI Information

  • NPI: 1851494942
  • Provider Name: MAXINE COSTA, APRN
  • Classification: Nurse Practitioner - 363LX0001X
  • Specialization: Obstetrics & Gynecology
  • Entity Type: Individual
  • Address: 19 WOODLAND STREET
    SUITE 31
    HARTFORD, CT
    ZIP 06105
  • Phone: (860) 728-1212

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NPI Details

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 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
1364SW0102XClinical Nurse SpecialistWomen's Health000861CONNECTICUTNo
2363LX0001XNurse PractitionerObstetrics & Gynecology000861CONNECTICUTYes

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 Other Provider Identifier Issuer
1P12594MEDICARE UPIN
2890000281MEDICARE ID-TYPE UNSPECIFIED
3004207719MEDICAIDCONNECTICUT

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: 11/21/2025

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