Individual provider · NPI-1

Elizabeth M Acloque, FNP-BC

Nurse Practitioner, Family · Palm Coast, FL

NPI number1972191005
StatusActive
Last updated in NPPESMay 3, 2025

Details

NPI
1972191005
Entity type
Individual (NPI-1)
Name
Mrs. Elizabeth M Acloque
Credential
FNP-BC
Sex
Female
Sole proprietor
No
Enumeration date
Jan 5, 2021
Certification date
May 3, 2025
Last updated
May 3, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAPRN11010908FLYes

Practice location

180 Pinnacles Dr Ste 201
Palm Coast, FL 32164-2597

Phone 904-325-9585 · Fax 386-310-0613

Mailing address

18 Weyanoke Ln
Palm Coast, FL 32164-4055

Phone 860-514-6368

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