Whalio Doctors

NPI 1073016549

Andrew Jason Costin

Practitioner Certified Registered Nurse Anesthetist Las Cruces, NM

Practice location

Address
2450 S Telshor Blvd, Las Cruces, NM 88011-5069
Phone
(575) 522-8641
Mailing address
4161 Purple Sage Dr, Las Cruces, NM 88011-4377

Registered specialties

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence CRNA-01536 (NM)

Registry record

NPI
1073016549
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Mar 2018
Record last updated
23 Jul 2023

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.