Provider Demographics
NPI:1730991753
Name:ACOSTA TRIANA, YANARA (FNP-C, APRN)
Entity type:Individual
Prefix:
First Name:YANARA
Middle Name:
Last Name:ACOSTA TRIANA
Suffix:
Gender:
Credentials:FNP-C, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3132 SW ANN ARBOR RD
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-6917
Mailing Address - Country:US
Mailing Address - Phone:239-672-5548
Mailing Address - Fax:
Practice Address - Street 1:3255 FOREST HILL BLVD STE 103
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-5854
Practice Address - Country:US
Practice Address - Phone:564-964-4577
Practice Address - Fax:561-964-4572
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-27
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11037137363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty