NPI 1497468862
James William Costello, MSMSHSMBA
Practice location
- Address
- 5145 S Durango Dr STE 102, Las Vegas, NV 89113-0161
- Phone
- (702) 367-7777
- Mailing address
- PO Box 400787, Las Vegas, NV 89140-0787
Registered specialties (2)
Genetic Counselor (M.S.)
Primary
Health & Wellness Coach
Registry record
- NPI
- 1497468862
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 2 Jan 2023
- Record last updated
- 16 Nov 2024
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.