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Individual
EVELYN JUDITH ACOSTA
Active
Individual
EVELYN JUDITH ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
721045
TX
363LF0000X
Family Nurse Practitioner
Primary
AP124780
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
342872401
—
TX
01
—
8715NH
BCBS
TX
Enumeration date
03/25/2014
Last updated
12/21/2021
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