Provider Demographics
NPI:1366098949
Name:ACOSTA, EVELYN DANNIELLE (CPNP-PC)
Entity type:Individual
Prefix:MRS
First Name:EVELYN
Middle Name:DANNIELLE
Last Name:ACOSTA
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Gender:F
Credentials:CPNP-PC
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Mailing Address - Street 1:5249 SANDERS AVE UNIT 4111
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79914-0406
Mailing Address - Country:US
Mailing Address - Phone:915-262-9332
Mailing Address - Fax:915-205-7092
Practice Address - Street 1:2270 JOE BATTLE BLVD STE E-G
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79938-2609
Practice Address - Country:US
Practice Address - Phone:915-642-9444
Practice Address - Fax:915-800-8570
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-10
Last Update Date:2025-11-04
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Provider Licenses
StateLicense IDTaxonomies
TXAP142131363LP0200X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No208000000XAllopathic & Osteopathic PhysiciansPediatrics