Individual
WILDENISSE BAEZ ACEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
12500 WILLOWBROOK RD, CUMBERLAND, MD 21502-6393
(240) 964-7000
Mailing address
68 S SERVICE RD STE 350, MELVILLE, NY 11747-2358
(516) 945-3000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
129903
PR
Other
Enumeration date
01/19/2021
Last updated
01/20/2021
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