Acosta, Gloria Jean

Acosta, Gloria Jean is an sole proprietor health care provider with primary practice located at 6320 N La Cholla Blvd Ste 300 , Tucson AZ 85741-3552. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Acosta, Gloria Jean can be contacted via phone (520) 545-0953.

Contact Information

Primary practice address
6320 N La Cholla Blvd Ste 300 Tucson AZ 85741-3552
Phone: (520) 545-0953
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN31517 Arizona

Profile Details

NPI number 1992848741
LBN Legal business name Acosta, Gloria Jean
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2007
Last updated Mar 12th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992848741 NPPES
Arizona MEDICAID 807315

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