Dacosta, Victoria Ann

Dacosta, Victoria Ann is an individual health care provider with primary practice located at 1257 Cranston St , Cranston RI 02920-7315. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Dacosta, Victoria Ann can be contacted via phone (401) 480-8971.

Contact Information

Primary practice address
1257 Cranston St Cranston RI 02920-7315
Phone: (401) 480-8971
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LPN09353 Rhode Island

Profile Details

NPI number 1881392769
LBN Legal business name Dacosta, Victoria Ann
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2023
Last updated Mar 14th, 2023 - about 3 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 1881392769 NPPES
Rhode Island MEDICAID 1245239680

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