Individual provider · Type 1 NPI
Bonita Acosta, FNP
Family Nurse Practitioner · Canyonville, OR
NPI number
1295882512
Active
Practice location
115 SW Pine Street
Canyonville, OR 97417-0198
Fax (541) 839-4858
Mailing address
PO Box 198
Canyonville, OR 97417-0198
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 078040445N1 (OR) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
Other family nurse practitioner providers in Canyonville
About NPI 1295882512
Bonita Acosta, FNP's National Provider Identifier is 1295882512, issued on Jan 5, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Canyonville, OR. The record was last updated on Dec 29, 2011.