Kristina Ann Costa, RN

Individual provider Active NPI Registered Nurse · Seaside, CA

NPI 1013258391 · NPPES record last updated Oct 14, 2016

Key facts

NPI
1013258391
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN821307 (CA)
Practice address
625 Hilby Ave
Seaside, CA 93955-5720
Phone
(831) 394-1691
NPI assigned
Mar 11, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN821307CAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN821307 CA Yes

Addresses

Primary practice location

625 Hilby Ave
Seaside, CA 93955-5720

Mailing address

1691 The Alameda
San Jose, CA 95126-2203
Phone (408) 795-3619

Other names

  • Kristina Ann Nielsen Former name

Other providers in Seaside, CA

All providers in Seaside, CA · Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.