Individual provider · NPI-1
Suhrei Acevedo-Daniels, MD
Family Medicine · Melba, ID
NPI number1508824640
StatusActive
Last updated in NPPESJan 8, 2019
Details
- NPI
- 1508824640
- Entity type
- Individual (NPI-1)
- Name
- Suhrei Acevedo-Daniels
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 1, 2006
- Last updated
- Jan 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | M-11831 | ID | Yes |
Practice location
150 2nd StMelba, ID 83641-5199
Phone 208-495-1011 · Fax 208-495-1012
Mailing address
Po Box 9Nampa, ID 83653-0009
Phone 208-495-1011 · Fax 208-495-1012
Other practice locations
150 2nd St
Melba, ID 83641-5199
Melba, ID 83641-5199
Phone 208-495-1011 · Fax 208-495-1012
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