Samantha Louise Acevedo
Nurse Anesthetist, Certified Registered in Wichita, KS. Individual provider (NPI-1).
NPI number1497549059
StatusActive
Last updated in NPPESAug 20, 2025
Details
- NPI
- 1497549059
- Entity type
- Individual (NPI-1)
- Name
- Samantha Louise Acevedo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 8, 2025
- Certification date
- Aug 20, 2025
- Last updated
- Aug 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 13-134149-021 | KS | Yes |
| 163W00000X | Registered Nurse | 13-134149-021 | KS |
Practice location
2770 N Webb RdWichita, KS 67226-8112
Phone 316-634-0090
Mailing address
1511 W Browning CtAndover, KS 67002-7508
Phone 316-680-0677
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