Amanda Acosta, APRN, CNM, WHNP-BC
Nurse Practitioner, Women's Health in Rockford, IL. Individual provider (NPI-1).
NPI number1447079546
StatusActive
Last updated in NPPESOct 7, 2024
Details
- NPI
- 1447079546
- Entity type
- Individual (NPI-1)
- Name
- Amanda Acosta
- Credential
- APRN, CNM, WHNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 7, 2024
- Certification date
- Oct 6, 2024
- Last updated
- Oct 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LW0102X | Nurse Practitioner, Women's Health | 209.030377 | IL | Yes |
| 367A00000X | Advanced Practice Midwife | – | – |
Other names
- Amanda Santillan (Former Name)
Practice location
2909 N Main StRockford, IL 61103-3100
Phone 779-696-9050
Mailing address
2576 Bibury DrRockford, IL 61109-5003
Phone 815-505-3263
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