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:

Map and Directions

Health care specialties

Specialty	Code	License #	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

State	Type	Number	Issuer
All States	NPI	1407843527	NPPES
Massachusetts	MEDICAID	110087108A

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