Wanda Ivette Acevedo, APRN

Individual provider Active NPI Family Nurse Practitioner · Clermont, FL

NPI 1760103014 · NPPES record last updated Sep 6, 2022

Key facts

NPI
1760103014
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
APRN9474039 (FL)
Practice address
720 Almond St
Clermont, FL 34711-3124
Phone
(352) 404-6959
Fax
(352) 404-6960
NPI assigned
Sep 6, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
APRN9474039FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Margarita Correa LLC Current
since Sep 11, 2022
Accepting new patients

Locations

720 Almond St
Clermont, FL 34711
Phone (352) 404-6959

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9474039 FL Yes

Addresses

Primary practice location

720 Almond St
Clermont, FL 34711-3124

Mailing address

720 Almond St
Clermont, FL 34711-3124
Phone (352) 404-6959

Other providers in Clermont, FL

All providers in Clermont, FL · Family Nurse Practitioner in Florida

Sources for this page

Verify at the official NPI Registry.