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Miss Ma Cornelia Villavicencio Leano, NURSEPRACTITIONER
Gerontology Nurse Practitioner in Fayetteville, North Carolina
NPI 1780179580

Ma Cornelia Villavicencio Leano is a Gerontology Nurse Practitioner based in Fayetteville, NC and is specialized in Gerontology. Ma Cornelia Villavicencio Leano practices in Fayetteville, NC and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Ma Cornelia Villavicencio Leano is 1780179580 and holds a License No. LEAN-18CO92 (North Carolina).

The current practice location address for Ma Cornelia Villavicencio Leano is 3081 Stone Carriage Cir Apt Z, Fayetteville, NC and can be reached out via phone at 818-675-0386. You can also correspond with Ma Cornelia Villavicencio Leano through the mailing address at 3081 STONE CARRIAGE CIR APT Z, FAYETTEVILLE, NC - 28304-5591 (mailing address contact number: 818-675-0386).

Location: 3081 Stone Carriage Cir Apt Z, Fayetteville, NC, 28304-5591
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Provider Profile Details
NPI Number
1780179580
Provider Name
Ma Cornelia Villavicencio Leano
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
3081 Stone Carriage Cir Apt Z, Fayetteville, NC, 28304-5591
Phone Number
818-675-0386
Fax Number
Provider Enumeration Date
06/25/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3081 Stone Carriage Cir Apt Z
City
State
Zip
28304
Phone Number
818-675-0386
Fax Number
person
Provider Business Mailing Address Details
Address
3081 Stone Carriage Cir Apt Z
City
State
Zip
28304-5591
Phone Number
818-675-0386
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
LEAN-18CO92 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
LEAN-18CO92 (North Carolina)
Definition
Definition to come...
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