IndividualActive
Vaneska Bottino Da Costa, M.D.
NPI 1003292525 · Pediatric Critical Care Medicine Physician · Fort Wayne, IN
Provider details
- NPI number
- 1003292525
- Entity type
- Individual
- Primary specialty
- Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 01091713A (IN)
Practice location
7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone: (260) 435-7001
Fax: (260) 435-9763
Mailing address
6920 Pointe Inverness Way Ste 200
Fort Wayne, IN 46804-7934
Registry dates
- Enumerated
- 2015-08-06
- Last updated
- 2023-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.