Individual
STEPHANIE MYREL ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
13943 N 91ST AVE STE I, PEORIA, AZ 85381-3692
(623) 815-2690
(623) 815-2689
Mailing address
13943 N 91ST AVE STE I, PEORIA, AZ 85381-3692
(623) 815-2690
(623) 815-2689
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2523379
MN
163W00000X
Registered Nurse
4704413416
MI
163W00000X
Registered Nurse
NUR-APRN-LIC-234817
MT
163WC0200X
Critical Care Medicine Registered Nurse
202209765RN
OR
163WC0200X
Critical Care Medicine Registered Nurse
95185761
CA
363L00000X
Nurse Practitioner
4704413416
MI
363L00000X
Nurse Practitioner
NUR-APRN-LIC-234817
MT
363LA2100X
Acute Care Nurse Practitioner
Primary
334581
AZ
Other
Enumeration date
01/06/2010
Last updated
05/07/2026
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