Leslie Acosta
Individual provider Active NPI Registered Nurse · Chandler, AZ
NPI 1396254397 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1396254397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN136327 (AZ)
- Practice address
- 2542 E Coronita Cir
Chandler, AZ 85225-6022 - Phone
- (480) 217-2063
- NPI assigned
- Sep 22, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| RN136327 | AZ | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN136327 | AZ | Yes |
Addresses
Primary practice location
2542 E Coronita Cir
Chandler, AZ 85225-6022
Mailing address
2542 E Coronita Cir
Chandler, AZ 85225-6022
Phone (480) 217-2063
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. 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.