IndividualActive
Erica Kostmayer, CRNP
NPI 1306422464 · Pediatric Nurse Practitioner · Gulfport, MS
Provider details
- NPI number
- 1306422464
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- License
- 1-156402 (AL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
401 Cowan Rd Unit B
Gulfport, MS 39507-2022
Phone: (228) 202-1144
Approximate (ZIP-level) locationGet directions
Mailing address
401 Cowan Rd Unit B
Gulfport, MS 39507-2022
Registry dates
- Enumerated
- 2021-03-19
- Last updated
- 2021-12-10
- Certified
- 2021-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.