National Provider Identifier

Elizabeth Ruth Costello

Elizabeth Ruth Costello is listed in the NPPES registry with a primary specialty of Registered Nurse in Corning, NY and a listed phone number of (607) 654-2803.

NPI 1548538119Corning, NYRegistered Nurse

Profile Overview

NPI
1548538119
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
December 09, 2011
Last Updated
December 09, 2011

Practice Location

  • 11 West Third Street
  • Corning Free Academy
  • Corning, NY 14830

Phone: (607) 654-2803

Mailing Address

  • 11 West First Street
  • Corning Free Academy
  • Corning, NY 14830

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1548538119
Entity Type
Individual
Last Name
Costello
First Name
Elizabeth
Middle Name
Ruth
Name Prefix
Mrs.
Provider Other Last Name
Costello
Provider Other First Name
Elizabeth
Provider Other Middle Name
Ruth
Provider Other Name Prefix Text
Mrs.
Provider Other Credential Text
RN
Provider Other Last Name Type Code
2
Mailing Street Address
11 West First Street
Mailing Address Line 2
Corning Free Academy
Mailing City
Corning
Mailing State
NY
Mailing ZIP Code
14830
Mailing Country
US
Practice Street Address
11 West Third Street
Practice Address Line 2
Corning Free Academy
Practice City
Corning
Practice State
NY
Practice ZIP Code
14830
Practice Country
US
Practice Phone
(607) 654-2803
Enumeration Date
December 09, 2011
Last Updated
December 09, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)