Individual
DEBORAH NASU ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 120212, GRAND RAPIDS, MI 49528-0104
(616) 498-8454
Mailing address
PO BOX 120212, GRAND RAPIDS, MI 49528-0104
(616) 498-8454
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
143834122
MI
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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