Ivy Anna Costello

NPI 1750547519 · on the registry since 2008

Practice

Address: 1441 S Saint Francis Dr
Santa Fe, NM 87505
Phone: (505) 982-2177
Fax: (505) 982-0620
Organisation at this address: Sante Fe Nm Caregiving Llc
Sangre De Cristo Community Health Partnership
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 101Y00000X
101Y00000X
Licence states on file: NM
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-07-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico