Provider Demographics
NPI:1013913193
Name:ACEVEDO, LESLIE ELIZABETH (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:ELIZABETH
Last Name:ACEVEDO
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5830 MERIDIAN RD
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-9668
Mailing Address - Country:US
Mailing Address - Phone:724-443-7231
Mailing Address - Fax:724-443-4467
Practice Address - Street 1:5830 MERIDIAN RD
Practice Address - Street 2:
Practice Address - City:GIBSONIA
Practice Address - State:PA
Practice Address - Zip Code:15044-9668
Practice Address - Country:US
Practice Address - Phone:724-443-7231
Practice Address - Fax:724-443-4467
Is Sole Proprietor?:No
Enumeration Date:2005-06-23
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAUP006197B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA036651Medicare PIN
PAPO3251Medicare UPIN