NPI 1386267011 · live from the CMS NPI Registry
Ann Mary Graham Acosta
Nurse Practitioner in Waldorf, MD. National Provider Identifier 1386267011, active.
NPI record
| NPI | 1386267011 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 2014 English Oak Ct, Waldorf, MD 20601 |
| Practice phone | 240-298-5668 |
| Enumerated | May 28, 2020 |
| Last updated | December 16, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner primary | 363L00000X | 0024178957 (VA) |
| Nurse Practitioner, Acute Care | 363LA2100X | R192764 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.