Provider Demographics
NPI:1801066923
Name:ACOSTA, VALERIE W (DNP FNPC FPMHNPBC)
Entity type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:W
Last Name:ACOSTA
Suffix:
Gender:F
Credentials:DNP FNPC FPMHNPBC
Other - Prefix:DR
Other - First Name:VALERIE
Other - Middle Name:W
Other - Last Name:WOJDAC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP FNPC FPMHNPBC
Mailing Address - Street 1:PO BOX 13533
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79913-3533
Mailing Address - Country:US
Mailing Address - Phone:915-241-4725
Mailing Address - Fax:833-755-1174
Practice Address - Street 1:224 ANTHONY DR
Practice Address - Street 2:STE B
Practice Address - City:ANTHONY
Practice Address - State:NM
Practice Address - Zip Code:88021-9366
Practice Address - Country:US
Practice Address - Phone:915-241-4725
Practice Address - Fax:915-241-4725
Is Sole Proprietor?:No
Enumeration Date:2008-03-04
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX608351363LF0000X, 363LP0808X
NM67080363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily