person
Alex Villavicencio, NP-C
Family Nurse Practitioner in Fort Wayne, Indiana
NPI 1053836882

Alex Villavicencio is a Family Nurse Practitioner based in Fort Wayne, IN and is specialized in Family. Alex Villavicencio practices in Fort Wayne, IN and has the professional credentials of NP-C. The NPI Number for Alex Villavicencio is 1053836882 and holds a License No. 71007374A (Indiana).

The current practice location address for Alex Villavicencio is 7601 W Jefferson Blvd, Fort Wayne, IN and can be reached out via phone at 260-436-8686 and via fax at 260-436-8585.

Location: 7601 W Jefferson Blvd, Fort Wayne, IN, 46804-4133
person
Provider Profile Details
NPI Number
1053836882
Provider Name
Alex Villavicencio
Credential
NP-C
Provider Entity Type
Individual
Gender
Male
Address
7601 W Jefferson Blvd, Fort Wayne, IN, 46804-4133
Phone Number
260-436-8686
Fax Number
260-436-8585
Provider Enumeration Date
08/14/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7601 W Jefferson Blvd
City
State
Zip
46804-4133
Phone Number
260-436-8686
Fax Number
260-436-8585
person
Provider Business Mailing Address Details
Address
7601 W Jefferson Blvd
City
State
Zip
46804-4133
Phone Number
260-436-8686
Fax Number
260-436-8585
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71007374A (Indiana)
Definition
Definition to come...
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