Individual
VANESSA A ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
202 MORNINGSIDE DR SE, ALBUQUERQUE, NM 87108-2633
(505) 266-0888
Mailing address
601 MENAUL BLVD NE UNIT 2501, ALBUQUERQUE, NM 87107-1553
(505) 544-7508
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA2020-0112
NM
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
12/08/2020
Last updated
10/08/2024
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