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NPI Code Detail

MEDICARE: ANN E ACEVEDO CRNP

MEDICARE: ANN E ACEVEDO CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerSP020609PA

General Provider Information

NPI Number : 1770133126
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN E ACEVEDO CRNP
Provider Business Mailing Address
First Line : 801 OSTRUM ST
Second Line :
City : BETHLEHEM
State : PA
Zip : 18015-1000
Country : US
Telephone Number : 484-526-4999
Fax Number : 833-213-6428
Provider Business Practice Location Address
First Line : 770 STATE RD
Second Line :
City : LEHIGHTON
State : PA
Zip : 18235-2857
Country : US
Telephone Number : 272-639-5060
Fax Number : 833-214-0130
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2019
Last Update Date : 10/15/2025

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