Individual provider · Type 1 NPI

Elizabeth Villavicencio, NURSE PRACT

Pediatric Nurse Practitioner · Staten Island, NY

NPI number 1790772010 Active

About NPI 1790772010

Elizabeth Villavicencio, NURSE PRACT's National Provider Identifier is 1790772010, issued on Oct 3, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Staten Island, NY. The record was last updated on Nov 9, 2012.