Individual provider · Type 1 NPI

Brenda Ann Dacosta, NP

Nurse Practitioner · Los Angeles, CA

NPI number 1063567345 Active

Practice location

5850 S Main St
Los Angeles, CA 90003-1215

Fax (323) 232-8115

Mailing address

490 Pine Ave Apt 408-P
Long Beach, CA 90802-2386

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X11432 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1063567345

Brenda Ann Dacosta, NP's National Provider Identifier is 1063567345, issued on Jan 24, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 8, 2007.