Individual provider · NPI-1

Iris Acosta

Nurse Practitioner, Family · Sacramento, CA

NPI number1942527445
StatusActive
Last updated in NPPESApr 23, 2010

Details

NPI
1942527445
Entity type
Individual (NPI-1)
Name
Iris Acosta
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 23, 2010
Last updated
Apr 23, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family19598CAYes
163W00000X Registered Nurse600749CA

Practice location

8328 Spengler Dr
Sacramento, CA 95828-6665

Phone 916-689-0603

Mailing address

8328 Spengler Dr
Sacramento, CA 95828-6665

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