Jenifer Dalla Costa, LPN
Individual provider Active NPI Licensed Practical Nurse · Hyannis, MA
NPI 1831493774 · NPPES record last updated Jan 7, 2011
Key facts
- NPI
- 1831493774
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- LN86172 (MA)
- Practice address
- 30 Elm Ave
Hyannis, MA 02601-5547 - Phone
- (508) 778-0300
- Fax
- (508) 778-0301
- NPI assigned
- Jan 7, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LN86172 | MA | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbor Health Services, Inc. | Past | Accepting new patients | |
| Harbor Health Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LN86172 | MA | Yes |
Addresses
Primary practice location
30 Elm Ave
Hyannis, MA 02601-5547
Mailing address
1135 Morton St
Mattapan, MA 02126-2834
Phone (617) 533-2300
Other providers in Hyannis, MA
- Colleen M Dahn
- Elyse Hillary Daignault
- Dal, Inc
- Alice M Daley
- Luke Francis Daley
- Kathryn Haverington Dalton
- Joanna Leigh Daluze
- Christine Marie Daly
- Helen M Dalzell
- Matthew H Daniels
All providers in Hyannis, MA · Licensed Practical Nurse in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 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.