MEDICARE: PEDRO P GE ACUNA APRN-CNP

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
1	363LF0000X	Family Nurse Practitioner	832133	NV

General Provider Information

NPI Number	:	1316314008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PEDRO P GE ACUNA APRN-CNP

Provider Business Mailing Address
First Line	:	3090 LIBERTY CIR N
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-1330
Country	:	US
Telephone Number	:	170-298-0148
Fax Number	:

Provider Business Practice Location Address
First Line	:	3090 LIBERTY CIR N
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-1330
Country	:	US
Telephone Number	:	170-298-0148
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2015
Last Update Date	:	12/12/2024

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