Sandra Esther Acevedo

Individual provider Active NPI Health & Wellness Coach · Ewing, NJ

NPI 1033952932 · NPPES record last updated Jun 17, 2024

Key facts

NPI
1033952932
Entity type
Individual (NPI type 1)
Primary specialty
Health & Wellness Coach 171400000X
License
A-3889846 (NJ)
Practice address
820 Bear Tavern Rd
Ewing, NJ 08628-1021
Phone
(608) 893-7265
NPI assigned
Jun 17, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
A-3889846NJMDHealth & Wellness Coach

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X
Health & Wellness Coach 171400000X A-3889846 NJ Yes

Addresses

Primary practice location

820 Bear Tavern Rd
Ewing, NJ 08628-1021

Mailing address

3 Branco PL
East Brunswick, NJ 08816-1604
Phone (908) 239-2735

Other providers in Ewing, NJ

All providers in Ewing, NJ · Health & Wellness Coach in New Jersey

Sources for this page

Verify at the official NPI Registry.