person
John De Villa, FNP-BC
Family Nurse Practitioner in Pueblo, Colorado
NPI 1205474210

John De Villa is a Family Nurse Practitioner based in Kansas City, CO and is specialized in Family. John De Villa practices in Pueblo, CO and has the professional credentials of FNP-BC. The NPI Number for John De Villa is 1205474210 and holds a License No. APN.0995304-NP (Colorado).

The current practice location address for John De Villa is 902 Lakeview Ave, Pueblo, CO and can be reached out via phone at 719-557-5855.

Location: 902 Lakeview Ave, Pueblo, CO, 64180-0022
person
Provider Profile Details
NPI Number
1205474210
Provider Name
John De Villa
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Male
Address
902 Lakeview Ave, Pueblo, CO, 64180-0022
Phone Number
719-557-5855
Fax Number
Provider Enumeration Date
12/20/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
902 Lakeview Ave
City
State
Zip
81004-3597
Phone Number
719-557-5855
Fax Number
person
Provider Business Mailing Address Details
Address
902 Lakeview Ave
City
State
Zip
81004-3597
Phone Number
719-557-5855
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
APN.0995304-NP (Colorado)
Definition
Definition to come...
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