Individual
AMANDA ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNM, WHNP-BC
Contact information
Practice address
2909 N MAIN ST, ROCKFORD, IL 61103-3100
(779) 696-9050
Mailing address
2576 BIBURY DR, ROCKFORD, IL 61109-5003
(815) 505-3263
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
209.030377
IL
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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