NPI 1093289936 · live from the CMS NPI Registry
Erica Isabel Acevedo, PA-C
Physician Assistant in Norwalk, CT. National Provider Identifier 1093289936, active.
NPI record
| NPI | 1093289936 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 34 Maple St, Norwalk, CT 06850 |
| Practice phone | 203-852-2000 |
| Mailing address | 8102 Town Walk Dr, Hamden, CT 06518 |
| Enumerated | January 14, 2019 |
| Last updated | January 29, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 4382 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.