Individual
PATRICIA ACEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2 E BLACKWELL ST STE 18, DOVER, NJ 07801-4645
(973) 939-1150
(973) 939-1151
Mailing address
164 ROBERT ST, WHARTON, NJ 07885-2134
(973) 207-8226
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ01223800
NJ
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ01223800
NJ
Other
Enumeration date
11/09/2021
Last updated
10/10/2024
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