| Christina Lea Costello, FNP-BC | |
| 
					394 Singleton Ridge Rd, Conway, SC 29526-9150  | |
| (843) 347-8050 | |
| (843) 347-8049 | 
| Full Name | Christina Lea Costello | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 394 Singleton Ridge Rd, Conway, South Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1780407742 | NPI | - | NPPES | 
| NN0900 | Medicaid | SC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 29621 (South Carolina) | Primary | 
| Entity Name | Conway Hospital Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1134172000 PECOS PAC ID: 7113839606 Enrollment ID: O20031201000111  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Christina Lea Costello, FNP-BC 300 Singleton Ridge Rd, Attn Credentialing, Conway, SC 29526-9142 Ph: (843) 234-6946  | Christina Lea Costello, FNP-BC 394 Singleton Ridge Rd, Conway, SC 29526-9150 Ph: (843) 347-8050  | 
Mr. Jonathan D. Briggs, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4300 Highway 90, Conway, SC 29526 Phone: 843-399-3377 Fax: 843-399-3378  | |
Linda Lee Queen, ARPN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1608 Main St, Conway, SC 29526 Phone: 843-248-4700 Fax: 843-248-3145  | |
Dr. Karen Jeanette Smith, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2996 E Highway 501, Conway, SC 29526 Phone: 843-347-2613  | |
Betsy L Paul, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1113 Church St, Conway, SC 29526 Phone: 843-248-6269  | |
Diana L Taylor, DNP, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 140 Professional Park Drive, Conway, SC 29526 Phone: 843-234-5678  | |
Stephanie Miller, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 235 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-2121  | |
Ms. Linda Sharlene Clinebell, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 251 University Blvd Ste A, Conway, SC 29526 Phone: 843-347-0524 Fax: 843-347-0655  |