Elizabeth Villavicencio, Nurse Pract
Nurse Practitioner, Pediatrics in Staten Island, NY. Individual provider (NPI-1).
NPI number1790772010
StatusActive
Last updated in NPPESNov 9, 2012
Details
- NPI
- 1790772010
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Villavicencio
- Credential
- Nurse Pract
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2005
- Last updated
- Nov 9, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | F3814531 | NY | Yes |
Other names
- Elizabeth Flint (Former Name)
Practice location
347 Edison StStaten Island, NY 10306-3034
Phone 718-351-1136 · Fax 718-667-9711
Mailing address
2031 Forest AveStaten Island, NY 10303-1796
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All 19 Pediatric Nurse Practitioner providers in Staten Island · All 15,106 providers in Staten Island
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