Individual provider · Type 1 NPI

Selena Marie Dacosta, APRN, CNP

Nurse Practitioner · Minneapolis, MN

NPI number 1669973962 Active

Practice location

715 S 8th St
Minneapolis, MN 55404-1210

Mailing address

701 Park Ave
Minneapolis, MN 55415-1623

Other practice locations

  • 701 Park Ave, Minneapolis, MN 55415-1623 · (612) 873-3000

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5532 (MN)

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 1669973962

Selena Marie Dacosta, APRN, CNP's National Provider Identifier is 1669973962, issued on Feb 22, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Minneapolis, MN. The record was last updated on Oct 11, 2023.