Individual provider · Type 1 NPI
Mary Dacosta, FNP-C
Nurse Practitioner · Tavares, FL
Practice location
1000 Waterman Way
Tavares, FL 32778-5266
Mailing address
PO Box 917361
Longwood, FL 32791-7361
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | APRN11026020 (FL) |
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 1689456386
Mary Dacosta, FNP-C's National Provider Identifier is 1689456386, issued on Oct 17, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tavares, FL. The record was last updated on Oct 17, 2023.