Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Thao L Costanza, AGPCNP

Individual provider Acute Care Nurse Practitioner · NPI 1114433323

Mrs. Thao L Costanza, AGPCNP is a Nurse Practitioner in Boston, Massachusetts. Qualified in 2017, 9 years ago. Practices with Lahey Clinic Inc, a 1,372-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
9
Licensed in
MA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

110 Francis St
Boston, MA 02215-5501
Phone: (617) 632-7246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 41 Mall Rd, Burlington, MA 01805-5501 — (781) 744-8000

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence RN2267066 (MA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence RN2267066 (MA)

Record details

NPI number1114433323
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP
Sole proprietorNo
NPI enumeratedDecember 26, 2017
Last updated in NPPESNovember 1, 2024
Certification dateNovember 1, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Lahey Clinic Inc — 1372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Boston