Ms. Kelly C. Acevedo RN, MSN, GNP
Gerontology Nurse Practitioner in Charlotte, NC(View on Map)
Full Name
Ms. Kelly C Acevedo RN, MSN, GNP
NPI Number
1497886956
NPI Type
Individual Provider
Gender
Female
Enumeration Date
03/08/2007
Specialties
(Taxonomies)Code
363LG0600X
163WG0600X
Primary Taxonomy
Yes
No
Licenses
State
North Carolina
South Carolina
License Number
249757
2854
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 602148
1000 BLYTHE BLVD
City
Charlotte
Charlotte
State
NC
NC
Postal Code
28260-2148
28203-5812
Country
US
US
Telephone Number
(704) 512-5363
(704) 512-5363
Identifiers
Identifier
7005508
NP1093
P00813613
Identifier State
NC
SC
SC
Identifier Issuer
Unknown
Unknown
RAILROAD MEDICARE ID-RSFPN
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/18/2013
Provider Address
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