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

Tina Marie Costales

Individual provider Registered Nurse · NPI 1619712841

Tina Marie Costales is a Registered Nurse in Riverside, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

1276 Coco Ct
Riverside, CA 92506-5560
Phone: (909) 509-1073
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 717973 (CA)

Record details

NPI number1619712841
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 28, 2024
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024

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