Individual provider · Type 1 NPI

Vanesa Acosta

Student in an Organized Health Care Education/Training Program · Kenosha, WI

NPI number 1154988566 Active

Practice location

2001 Alford Park Dr
Kenosha, WI 53140-1927

Call (262) 551-8500 Map

Mailing address

1600 Wedgewood Dr Apt 202
Gurnee, IL 60031-1260

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1154988566

Vanesa Acosta's National Provider Identifier is 1154988566, issued on May 21, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kenosha, WI. The record was last updated on May 21, 2019.