Individual provider · Type 1 NPI

Alex Villavicencio, NP-C

Family Nurse Practitioner · Fort Wayne, IN

NPI number 1053836882 Active

Practice location

7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133

Fax (260) 436-8585

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X71007374A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1053836882

Alex Villavicencio, NP-C's National Provider Identifier is 1053836882, issued on Aug 14, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 21, 2022.