Individual provider · Type 1 NPI
Rowena Fernandez Villacorta, CRNP
Family Nurse Practitioner · Baltimore, MD
NPI number
1679912737
Active
Practice location
4940 Eastern Ave
Baltimore, MD 21224-2735
Mailing address
5045 Bridgeford Cir
Rosedale, MD 21237-4929
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R171468 (MD) |
Family Nurse Practitioner: Definition to come...
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About NPI 1679912737
Rowena Fernandez Villacorta, CRNP's National Provider Identifier is 1679912737, issued on Jun 21, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Baltimore, MD. The record was last updated on Jun 21, 2013.