Individual
ELISA VERONICA ACEVEDO VENEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
251 LANDIS AVE, CHULA VISTA, CA 91910-2628
(619) 515-2500
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95015273
CA
363L00000X
Nurse Practitioner
AP61530719
WA
363L00000X
Nurse Practitioner
RN254581
GA
Other
Enumeration date
09/08/2020
Last updated
10/30/2024
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