Individual provider · NPI-1
Mary Elizabeth Acosta
Nurse Practitioner · Charlotte, NC
NPI number1295480952
StatusActive
Last updated in NPPESJan 29, 2024
Details
- NPI
- 1295480952
- Entity type
- Individual (NPI-1)
- Name
- Mary Elizabeth Acosta
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 21, 2022
- Certification date
- Jan 29, 2024
- Last updated
- Jan 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 5016136 | NC | Yes |
Other names
- Beth Acosta (Other Name)
Practice location
200 Greenwich RdCharlotte, NC 28211-2316
Phone 704-384-8680 · Fax 704-384-8684
Mailing address
Po Box 60447Charlotte, NC 28260-0447
Other practice locations
2501 Lincolnton Highway
Cherryville, NC 28021
Cherryville, NC 28021
Phone 205-545-5090
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