Brenda Ann Dacosta in Long Beach - Nurse Practitioner
Brenda Ann Dacosta - NPI 1063567345
Brenda Ann Dacosta is a Nurse Practitioner in Long Beach, California. Brenda Ann Dacosta practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Brenda Ann Dacosta is 1063567345. The last update date is 2007-07-08.
Brenda Ann Dacosta's current location address is 490 Pine Ave Apt 408-p, Long Beach, California. You can contact this provider via phone number 5624320410. The mailing address for Brenda Ann Dacosta is 490 Pine Ave Apt 408-p, Long Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brenda Ann Dacosta |
|---|---|
| Address | 490 Pine Ave Apt 408-p, Long Beach, California |
| Phone Number | 5624320410 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1063567345 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 490 Pine Ave Apt 408-p |
|---|---|
| City | Long Beach |
| State | California (CA) |
| Post Code | 908022386 |
| Phone Number | 5624320410 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 11432 |
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Definition: (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 certifi |
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What is the unique identifier code issued to Brenda Ann Dacosta by the Centers for Medicare & Medicaid Services (CMS)?
The Brenda Ann Dacosta has been assigned the NPI (National Provider Identifier) 1063567345. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Brenda Ann Dacosta?
The Brenda Ann Dacosta is situated at 490 Pine Ave Apt 408-P, in the city of Long Beach, state of CA, with the zip code 908022386.
What is Brenda Ann Dacosta's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Brenda Ann Dacosta is Nurse Practitioner, and the taxonomy code that categorizes this field of expertise is 363L00000X.
On what date was the 1063567345 assigned to Brenda Ann Dacosta?
The Brenda Ann Dacosta was issued its 1063567345 on 2007-01-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Brenda Ann Dacosta's details last updated?
The information pertaining to the Brenda Ann Dacosta, including its address, specialty, and other details, was most recently updated on 2007-07-08.