Individual provider · NPI-1

Stephanie Myrel Acosta, APRN

Nurse Practitioner, Acute Care · Peoria, AZ

NPI number1508196999
StatusActive
Last updated in NPPESMay 6, 2026

Details

NPI
1508196999
Entity type
Individual (NPI-1)
Name
Stephanie Myrel Acosta
Credential
APRN
Sex
Female
Sole proprietor
No
Enumeration date
Jan 6, 2010
Certification date
May 6, 2026
Last updated
May 6, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LA2100X Nurse Practitioner, Acute Care334581AZYes
163WC0200X Registered Nurse, Critical Care Medicine202209765RNOR
163WC0200X Registered Nurse, Critical Care Medicine95185761CA
163W00000X Registered NurseNUR-APRN-LIC-234817MT
363L00000X Nurse Practitioner4704413416MI
163W00000X Registered Nurse2523379MN
163W00000X Registered Nurse4704413416MI
363L00000X Nurse PractitionerNUR-APRN-LIC-234817MT

Practice location

13943 N 91st Ave Ste I
Peoria, AZ 85381-3692

Phone 623-815-2690 · Fax 623-815-2689

Mailing address

13943 N 91st Ave Ste I
Peoria, AZ 85381-3692

Phone 623-815-2690 · Fax 623-815-2689

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