Acosta, Mary Tillman
Acosta, Mary Tillman is an individual health care provider with primary practice located at 8001 Youree Dr Ste 300 , Shreveport LA 71115-2303. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Acosta, Mary Tillman can be contacted via phone (318) 212-3800.Contact Information
Primary practice address
8001 Youree Dr Ste 300
Shreveport LA 71115-2303
Phone: (318) 212-3800
Fax: (318) 212-3805
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | AP07973 | Louisiana |
Profile Details
| NPI number | 1356759153 |
|---|---|
| LBN Legal business name | Acosta, Mary Tillman |
| Credentials | WHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2014 |
| Last updated | Jul 6th, 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.
Popular Providers
-
Walker, Shanah Denise
9111 Susan Dr , Shreveport LA 71118-3136 -
Davis, Ashli M.
1455 E Bert Koun Loop , Shreveport LA 71105-5634 -
Trainer, Tamara J
1525 Fairfield Room 551 Dhh-Office Of Public Health, Shreveport LA 71101 -
Gipson, Latoya P.
8001 Youree Dr Suite 600, Shreveport LA 71115-2302 -
Smiley, Aimee
8001 Youree Dr Suite 600, Shreveport LA 71115-2302 -
Gayle, Julie Helen
510 E Stoner Ave , Shreveport LA 71101-4243 -
Bragg, Alana O
1501 Kings Hwy Department Of Ob/Gyn, Shreveport LA 71103-4228 -
Mayfield, Marty M
8001 Youree Dr Suite 600, Shreveport LA 71115-2302