person
Alexandria Pebbles Vicencio, FNP-BC
Family Nurse Practitioner in Rockford, Illinois
NPI 1043083587

Alexandria Pebbles Vicencio is a Family Nurse Practitioner based in Rockford, IL and is specialized in Family. Alexandria Pebbles Vicencio practices in Rockford, IL and has the professional credentials of FNP-BC. The NPI Number for Alexandria Pebbles Vicencio is 1043083587 and holds a License No. 209.028650 (Illinois).

The current practice location address for Alexandria Pebbles Vicencio is 4215 Newburg Rd, Rockford, IL and can be reached out via phone at 815-988-8500 and via fax at 815-977-5956.

Location: 4215 Newburg Rd, Rockford, IL, 61108-6479
person
Provider Profile Details
NPI Number
1043083587
Provider Name
Alexandria Pebbles Vicencio
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
4215 Newburg Rd, Rockford, IL, 61108-6479
Phone Number
815-988-8500
Fax Number
815-977-5956
Provider Enumeration Date
11/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4215 Newburg Rd
City
State
Zip
61108-6479
Phone Number
815-988-8500
Fax Number
815-977-5956
person
Provider Business Mailing Address Details
Address
4215 Newburg Rd
City
State
Zip
61108-6479
Phone Number
815-988-8500
Fax Number
815-977-5956
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209.028650 (Illinois)
Definition
Definition to come...
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