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NPI Code Detail

MEDICARE: ANGELA MOREHOUSE COSTE FNP-C

MEDICARE: ANGELA MOREHOUSE COSTE FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner269645AZ

General Provider Information

NPI Number : 1194071274
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA MOREHOUSE COSTE FNP-C
Provider Business Mailing Address
First Line : 2201 W FAIRVIEW ST STE 9
Second Line :
City : CHANDLER
State : AZ
Zip : 85224-4704
Country : US
Telephone Number : 480-470-4000
Fax Number :
Provider Business Practice Location Address
First Line : 2201 W FAIRVIEW ST STE 9
Second Line :
City : CHANDLER
State : AZ
Zip : 85224-4704
Country : US
Telephone Number : 480-470-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2012
Last Update Date : 12/01/2025

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Directions to “ ANGELA MOREHOUSE COSTE FNP-C” Practice Location

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