NPI 1972191005 · live from the CMS NPI Registry
Elizabeth M Acloque, FNP-BC
Nurse Practitioner, Family in Palm Coast, FL. National Provider Identifier 1972191005, active.
NPI record
| NPI | 1972191005 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 180 Pinnacles Dr Ste 201, Palm Coast, FL 32164 |
| Practice phone | 904-325-9585 |
| Mailing address | 18 Weyanoke Ln, Palm Coast, FL 32164 |
| Enumerated | January 5, 2021 |
| Last updated | May 3, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | APRN11010908 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.