Individual
BRENDA N ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP, PMHNP-BC
Contact information
Practice address
402 S 4TH AVE, YAKIMA, WA 98902-3546
(509) 575-4084
Mailing address
402 S 4TH ST, YAKIMA, WA 98901-2978
(509) 575-4084
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61509014
WA
Other
Enumeration date
12/01/2023
Last updated
04/19/2024
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