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Individual

ANDREW ACEVEDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3725 JUNE ST, BULLHEAD CITY, AZ 86442-8041
(702) 465-0631
Mailing address
3725 JUNE ST, BULLHEAD CITY, AZ 86442-8041

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
318364
AZ
363LA2100X
Acute Care Nurse Practitioner
885536
NV

Other

Enumeration date
02/11/2025
Last updated
09/24/2025
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