IndividualActive
Erica Costello, PA-C
NPI 1760989859 · Medical Physician Assistant · Casper, WY
Provider details
- NPI number
- 1760989859
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA853 (WY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
5840 E 2nd St Ste 200
Casper, WY 82609-4363
Phone: (307) 316-6133
Fax: (307) 315-6134
Approximate (ZIP-level) locationGet directions
Mailing address
5840 E 2nd St Ste 200
Casper, WY 82609-4363
Registry dates
- Enumerated
- 2018-04-06
- Last updated
- 2022-10-26
- Certified
- 2022-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.