Individual
MRS. COLEEN SOMMERS ACEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
301 SOUTH SEVENTH AVE, SUITE #340, WEST READING, PA 19611
(610) 988-4260
(610) 988-4261
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
RN1350942L
PA
363L00000X
Nurse Practitioner
Primary
UP005457-B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102201234
—
PA
Enumeration date
10/19/2006
Last updated
05/03/2018
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