| Bonita Acosta, FNP | |
|
115 Sw Pine Street, Canyonville, OR 97417-0198 | |
| (541) 839-4211 | |
| (541) 839-4858 |
| Full Name | Bonita Acosta |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 115 Sw Pine Street, Canyonville, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295882512 | NPI | - | NPPES |
| 005269 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 078040445N1 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bonita Acosta, FNP Po Box 198, Canyonville, OR 97417-0198 Ph: (541) 839-4211 | Bonita Acosta, FNP 115 Sw Pine Street, Canyonville, OR 97417-0198 Ph: (541) 839-4211 |
Mrs. Shari Lavida Allen, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 115 Sw Pine Street, Canyonville, OR 97417 Phone: 541-839-4211 Fax: 541-839-4858 | |
Shannon Briana Suhr, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 Sw Pine Street, Canyonville, OR 97417 Phone: 541-839-4211 Fax: 541-839-4858 |