Individual provider · Type 1 NPI
Josephine Villanueva Crisostomo
Family Nurse Practitioner · South Pasadena, CA
NPI number
1417410648
Active
Practice location
726 1/2 Brent Ave
South Pasadena, CA 91030-5917
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 756560 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1417410648
Josephine Villanueva Crisostomo's National Provider Identifier is 1417410648, issued on Apr 14, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in South Pasadena, CA. The record was last updated on Apr 14, 2019.