| Amanda Costello, ARNP | |
| 
					18958 N Dale Mabry Hwy, Lutz, FL 33548-2829  | |
| (813) 839-7390 | |
| (813) 333-5994 | 
| Full Name | Amanda Costello | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 18958 N Dale Mabry Hwy, Lutz, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1346678026 | NPI | - | NPPES | 
| 01567509 | Medicaid | FL | 
| Entity Name | Personal Recovery Network Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20200416000590  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Amanda Costello, ARNP 9310 Heritage Oak Ct, Tampa, FL 33647-5013 Ph: (727) 808-0959  | Amanda Costello, ARNP 18958 N Dale Mabry Hwy, Lutz, FL 33548-2829 Ph: (813) 839-7390  | 
Cheryl Millheim,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2322 Land O Lakes Blvd, Lutz, FL 33549 Phone: 813-778-3149  | |
Angela Marie Bumpus, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15953 N Florida Ave, Lutz, FL 33549 Phone: 813-513-0808  | |
Rinat Rene Tamames, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19112 Sunlake Blvd, Lutz, FL 33558 Phone: 786-227-7641  | |
Ramon Aviso, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2814 Ridge Hollow Ln, Lutz, FL 33559 Phone: 813-638-7735  | |
Mrs. Jeanne Brannan, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4115 Sparrow Ct, Lutz, FL 33558 Phone: 813-963-2086  | |
Mrs. Heather Merlo, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18125 N Us Highway 41 Ste 201, Lutz, FL 33549 Phone: 813-388-9468  | |
Mrs. Judith Loney Trotman, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18524 Avocet Dr, Lutz, FL 33558 Phone: 813-961-3589  |