Healthcare Provider Details

I. General information

NPI: 1982839981
Provider Name (Legal Business Name): VALERIE W ACOSTA DNP FNP-C LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2009
Last Update Date: 12/31/2020
Certification Date: 12/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 ANTHONY DR STE B
ANTHONY NM
88021-9366
US

IV. Provider business mailing address

PO BOX 13533
EL PASO TX
79913-3533
US

V. Phone/Fax

Practice location:
  • Phone: 575-489-8999
  • Fax: 833-755-1174
Mailing address:
  • Phone: 915-241-4725
  • Fax: 915-241-4725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. VALERIE W ACOSTA
Title or Position: PRESIDENT
Credential: DNP FNP-C
Phone: 915-241-4725