Individual
MISS ANGELA NICOLE ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
2301 YALE BLVD SE BLDG F, ALBUQUERQUE, NM 87106-4228
(575) 650-7087
Mailing address
2301 YALE BLVD SE BLDG F, ALBUQUERQUE, NM 87106-4228
(505) 272-7033
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18677037
—
NM
05
—
72545
—
NM
Enumeration date
09/02/2009
Last updated
02/18/2025
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