Mary Tillman Acosta, WHNP-BC Valid NPI

Individual provider · Women's Health Nurse Practitioner · Shreveport, LA

NPI

1356759153

Type

Individual (Type 1)

Primary specialty

Women's Health Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LW0102X

License number

AP07973 (LA)

Sex

Female

Sole proprietor

No

Enumerated

2014-07-24

Last updated

2021-07-06