Acosta, Segunda Yanez

Acosta, Segunda Yanez is an individual health care provider with primary practice located at 10529 Crestwood Dr. Suite 101, Manassas VA 20109-4418. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Acosta, Segunda Yanez can be contacted via phone (703) 392-6420.

Contact Information

Primary practice address
10529 Crestwood Dr. Suite 101 Manassas VA 20109-4418
Phone: (703) 392-6420
Fax: (703) 392-6421
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 0015000200 Virginia

Profile Details

NPI number 1225147341
LBN Legal business name Acosta, Segunda Yanez
Credentials PH.D., A.P.R.N.,B.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 18 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 1225147341 NPPES
Virginia Other 145346 ANTHEM BCBS MANASSAS OFFI
Virginia Other 5487014 ANTHEM BCBS MANASSAS OFFI
Virginia Other 057433 ANTHEM BCBS MANASSAS OFFI
Virginia Other H1670001 ANTHEM BCBS MANASSAS OFFI
Virginia Other 324116 ANTHEM BCBS MANASSAS OFFI

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