NPI 1043966872

Darrien Costello-Justus

Practitioner Student in an Organized Health Care Education/Training Program Lincoln, NE

Practice location

Address: 5000 Saint Paul Ave, Lincoln, NE 68504-2760
Phone: (402) 465-7508
Mailing address: 10118 P St, Omaha, NE 68127-2128

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1043966872
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Mar 2022
Record last updated: 2 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.