Dacosta, Renee F

Dacosta, Renee F is an individual health care provider with primary practice located at 534 Prospect St , Fall River MA 02720-5239. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Dacosta, Renee F can be contacted via phone (508) 973-7766.

Contact Information

Primary practice address
534 Prospect St Fall River MA 02720-5239
Phone: (508) 973-7766
Fax: (508) 973-7753
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 194312 Massachusetts

Profile Details

NPI number 1407843527
LBN Legal business name Dacosta, Renee F
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Apr 21st, 2020 - about 4 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 1407843527 NPPES
Massachusetts MEDICAID 110087108A

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