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Bonita Acosta, FNP
Family Nurse Practitioner in Canyonville, Oregon
NPI 1295882512

Bonita Acosta is a Family Nurse Practitioner based in Canyonville, OR and is specialized in Family. Bonita Acosta practices in Canyonville, OR and has the professional credentials of FNP. The NPI Number for Bonita Acosta is 1295882512 and holds a License No. 078040445N1 (Oregon).

The current practice location address for Bonita Acosta is 115 Sw Pine Street, Canyonville, OR and can be reached out via phone at 541-839-4211 and via fax at 541-839-4858.

Location: 115 Sw Pine Street, Canyonville, OR, 97417-0198
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295882512
Provider Name
Bonita Acosta
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
115 Sw Pine Street, Canyonville, OR, 97417-0198
Phone Number
541-839-4211
Fax Number
541-839-4858
Provider Enumeration Date
01/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
005269 05 OR
institution
Provider Business Practice Location Address Details
Address
115 Sw Pine Street
City
Canyonville
State
Oregon
Zip
97417-0198
Phone Number
541-839-4211
Fax Number
541-839-4858
person
Provider Business Mailing Address Details
Address
115 Sw Pine Street
City
Canyonville
State
Oregon
Zip
97417-0198
Phone Number
541-839-4211
Fax Number
541-839-4858
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
078040445N1 (Oregon)
Definition
Definition to come...
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