Individual provider · NPI-1

Anna Reyna Acosta, NNP

Nurse Practitioner, Neonatal · Loma Linda, CA

NPI number1154193597
StatusActive
Last updated in NPPESOct 30, 2023

Details

NPI
1154193597
Entity type
Individual (NPI-1)
Name
Anna Reyna Acosta
Credential
NNP
Sex
Female
Sole proprietor
No
Enumeration date
Oct 30, 2023
Certification date
Oct 28, 2023
Last updated
Oct 30, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LN0000X Nurse Practitioner, Neonatal95027348CAYes

Practice location

11234 Anderson St
Loma Linda, CA 92354-2804

Phone 909-558-4000

Mailing address

11234 Anderson St
Loma Linda, CA 92354-2804

Phone 800-825-5437

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