Individual provider · Type 1 NPI

Alexandria Pebbles Vicencio, FNP-BC

Family Nurse Practitioner · Rockford, IL

NPI number 1043083587 Active

Practice location

4215 Newburg Rd
Rockford, IL 61108-6479

Fax (815) 977-5956

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209.028650 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1043083587

Alexandria Pebbles Vicencio, FNP-BC's National Provider Identifier is 1043083587, issued on Nov 6, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rockford, IL. The record was last updated on Nov 6, 2023.