Individual
ELIANA ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 ELM ST NE, ALBUQUERQUE, NM 87102-2512
(505) 841-1000
Mailing address
4508 GRACE VIGIL RD SW, ALBUQUERQUE, NM 87121-5388
(505) 977-9060
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
75455
NM
Other
Enumeration date
08/15/2023
Last updated
09/07/2023
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