NPI Profile for MARIA KOSTANTACOS in JANESVILLE, WI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Registered Nurse First Assistant |
163WR0006X |
| NPI Number | 1538493614 |
|
| Status | Active | |
| Credentials | APRN, FNP | |
| Entity | Individual | |
| Enumeration date | 09/23/2009 | |
| Last updated | 10/02/2013 - About 13 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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MARIA KOSTANTACOS
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