Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 005221 | CT |
N | 363L00000X | Nurse Practitioner | AP124452 | TX |
Y | 363LG0600X | Nurse Practitioner - Gerontology | 5221 | CT |
NPI | 1033458344 |
---|---|
Provider Name | Ms. Tasha Lee Cuvi-Acosta |
First Address | New Haven, CT 06510-2483 |
Second Address | New Haven, CT 06510 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2013 |
Last Update Date | 18/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
004235900 | (05) | CT |