Most Relevant Information
Provider Data
| NPI Number: | 1003413436 |
| Provider Name: | LUPE ACOSTA RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WS0200X |
| Specialty: | Registered Nurse |
| License Number: | 155572 |
Most Important Dates
| Enumeration Date: | 10/08/2020 |
| Last Updated: | 10/08/2020 |
Provider Practice Location
212 SOUTH 3RD STREET
HOMER
NE
68030
Practice Location Phone/Fax
| Phone: | 4026982377 |
| Fax: |
Provider Mailing Location
212 SOUTH 3RD STREET
HOMER
NE
68030
Provider Mailing Phone/Fax
| Phone: | 4026982377 |
| Fax: | 4026982379 |