Individual provider · Type 1 NPI

Mary Tillman Acosta, WHNP-BC

Women's Health Nurse Practitioner · Shreveport, LA

NPI number 1356759153 Active

Practice location

8001 Youree Dr Ste 300
Shreveport, LA 71115-2303

Call (318) 212-3800 Map

Fax (318) 212-3805

Mailing address

8001 Youree Dr Ste 320
Shreveport, LA 71115-2354

Specialties and licenses

TaxonomyCodeLicense
Women's Health Nurse Practitioner Primary 363LW0102XAP07973 (LA)

Women's Health Nurse Practitioner: Definition to come...

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About NPI 1356759153

Mary Tillman Acosta, WHNP-BC's National Provider Identifier is 1356759153, issued on Jul 24, 2014. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Shreveport, LA. The record was last updated on Jul 6, 2021.