person
Gavin Villacorta, CRNP
Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1093411688

Gavin Villacorta is a Nurse Practitioner based in Philadelphia, PA. Gavin Villacorta practices in Philadelphia, PA and has the professional credentials of CRNP. The NPI Number for Gavin Villacorta is 1093411688 and holds a License No. SP027036 (Pennsylvania).

The current practice location address for Gavin Villacorta is 330 S 9Th St, Philadelphia, PA and can be reached out via phone at 215-829-6500 and via fax at 215-829-6606.

Location: 330 S 9Th St, Philadelphia, PA, 19107-6103
person
Provider Profile Details
NPI Number
1093411688
Provider Name
Gavin Villacorta
Credential
CRNP
Provider Entity Type
Individual
Gender
Male
Address
330 S 9Th St, Philadelphia, PA, 19107-6103
Phone Number
215-829-6500
Fax Number
215-829-6606
Provider Enumeration Date
02/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
330 S 9Th St
City
State
Zip
19107-6103
Phone Number
215-829-6500
Fax Number
215-829-6606
person
Provider Business Mailing Address Details
Address
330 S 9Th St
City
State
Zip
19107-6103
Phone Number
215-829-6500
Fax Number
215-829-6606
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
SP027036 (Pennsylvania)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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