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ELISA ACEVEDO FNP
>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1053926923
Individual Registrant: ELISA ACEVEDO FNP
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
5836 BUFORD HWY STE C NORCROSS, GA 30071-2581 US
Tel: 770-734-9920 Fax: --
Tel: 770-734-9920 Fax: --
Contact information for business:
7310 DRUID HILLS RESERVE DR NE ATLANTA, GA 30329-2061 US
Tel: 229-457-3639 Fax: --
Tel: 229-457-3639 Fax: --
Registration Information:
NPI: 1053926923
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | GA | RN254581 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
