Vanessa Acosta
Individual provider Active NPI Driver · Stony Creek, VA
NPI 1861935447 · NPPES record last updated Sep 4, 2024
Key facts
- NPI
- 1861935447
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- T62577598 (VA)
- Practice address
- 17326 Winfield LN
Stony Creek, VA 23882-3522 - Phone
- (804) 704-2640
- NPI assigned
- Nov 30, 2016
- 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 |
|---|---|---|---|
| T62577598 | VA | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | T62577598 | VA | Yes |
Addresses
Primary practice location
17326 Winfield LN
Stony Creek, VA 23882-3522
Mailing address
17326 Winfield LN
Stony Creek, VA 23882-3522
Phone (804) 704-2640
Other providers in Stony Creek, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2024. 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.