Provider Demographics
NPI:1326849654
Name:COSTA, MELISSA ANN (NP-S)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:ANN
Last Name:COSTA
Suffix:
Gender:
Credentials:NP-S
Other - Prefix:
Other - First Name:LISSY
Other - Middle Name:ANN
Other - Last Name:COSTA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP-S
Mailing Address - Street 1:3333 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-3165
Mailing Address - Country:US
Mailing Address - Phone:412-578-6000
Mailing Address - Fax:
Practice Address - Street 1:3333 5TH AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3165
Practice Address - Country:US
Practice Address - Phone:412-578-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-22
Last Update Date:2025-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN739460390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program