Brianne Kaikaina Costa, RN
Individual provider Active NPI Registered Nurse · Sweet Home, OR
NPI 1023397239 · NPPES record last updated Aug 5, 2011
Key facts
- NPI
- 1023397239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 201141868 (OR)
- Practice address
- 759 27TH Ave
Sweet Home, OR 97386-2994 - Phone
- (541) 367-8507
- NPI assigned
- Aug 5, 2011
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 201141868 | OR | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 201141868 | OR | Yes |
Addresses
Primary practice location
759 27TH Ave
Sweet Home, OR 97386-2994
Mailing address
38629 SW Elderberry St
Scio, OR 97374-3907
Phone (503) 302-3288
Other providers in Sweet Home, OR
- Jessica Marie Brawn
- Jessika Alexandrea Brent
- Cyndy C. Carmichael
- Deborah Castro
- Karla Elizabeth Cook
- Julia Cowan
- Sarah Crowe May
- Michael D. Crowe
- Danca Lenna Inc
- Keoni Danielson Kuwaye
All providers in Sweet Home, OR · Registered Nurse in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.