Provider Demographics
NPI:1538701180
Name:ACEVEDO, MICHELLE ANN (APRN,MSN,FNP-C)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:ANN
Last Name:ACEVEDO
Suffix:
Gender:F
Credentials:APRN,MSN,FNP-C
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:ANN-CRISTAN
Other - Last Name:ACEVEDO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN,MSN,FNP-C
Mailing Address - Street 1:915 AUSTIN ST
Mailing Address - Street 2:
Mailing Address - City:LEVELLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79336-4421
Mailing Address - Country:US
Mailing Address - Phone:806-310-2715
Mailing Address - Fax:
Practice Address - Street 1:915 AUSTIN ST
Practice Address - Street 2:
Practice Address - City:LEVELLAND
Practice Address - State:TX
Practice Address - Zip Code:79336-4421
Practice Address - Country:US
Practice Address - Phone:806-310-2715
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-15
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP143449363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily