Doctor Name: | MRS. LESLIE ELIZABETH ACEVEDO |
NPI Number: | 1013913193 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | UP006197B |
Business Practice Address: | 231 W Diamond St Butler, PA - 160015784 |
Business Phone Number: | 7245841147 |
Business Fax Number: | 7242875430 |
Mailing Address: | 231 W. Diamondst., BUTLER |
State: | PA |
Postal Code: | 16001 |
Phone Number: | 7245841147 |
Fax Number: | |
NPI Enumeration Date: | 06/23/2005 |
NPI Last Update Date: | 03/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | UP006197B |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |