Provider Demographics
NPI:1316314008
Name:GE ACUNA, PEDRO P (APRN-CNP)
Entity type:Individual
Prefix:
First Name:PEDRO
Middle Name:P
Last Name:GE ACUNA
Suffix:
Gender:M
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3090 LIBERTY CIR N
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-1330
Mailing Address - Country:US
Mailing Address - Phone:170-298-0148
Mailing Address - Fax:
Practice Address - Street 1:3090 LIBERTY CIR N
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-1330
Practice Address - Country:US
Practice Address - Phone:170-298-0148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-28
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV832133363LF0000X, 363LF0000X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical