Ann Marie C Acosta
Individual provider Active NPI Licensed Vocational Nurse · Upland, CA
NPI 1316634645 · NPPES record last updated Apr 18, 2023
Key facts
- NPI
- 1316634645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 690837 (CA)
- Practice address
- 1241 W Foothill Blvd
Upland, CA 91786-3681 - Phone
- (909) 985-2713
- NPI assigned
- Apr 18, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 690837 | CA | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 690837 | CA | Yes |
Addresses
Primary practice location
1241 W Foothill Blvd
Upland, CA 91786-3681
Mailing address
1241 W Foothill Blvd
Upland, CA 91786-3681
Phone (909) 985-2713
Other providers in Upland, CA
- Ace Hospice Care Inc
- Celeste Aceves
- Dani Achi
- Achieva Hospice Inc
- Aci Medical Billing Inc
- Jessica Acosta
- Marisol A Acosta
- Sara Acosta
- Ada Zaw DDS
- Asyah S Adams
All providers in Upland, CA · Licensed Vocational Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.