Individual
DIANE ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
315 MLK JR WAY, TACOMA, WA 98405
(253) 403-7299
Mailing address
315 MLK JR WAY, TACOMA, WA 98405
(253) 403-7299
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP60406236
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3674
LICENSE NUMBER
CT
01
—
AP60406236
LICENSE
WA
Enumeration date
10/02/2007
Last updated
03/09/2016
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