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Contact Information

LEONARDO F COSTA, NP
180 CORLISS ST STE C
PROVIDENCE, RI02904-2602
 Phone: 401-793-4636
 Fax: 401-793-4639
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for LEONARDO F COSTA · (Male)

NPI Number 1124453386
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 09/06/2013
Last updated 05/19/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • RI License # APRN03067
  • RI License # RN52152
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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