MRS. ANDREA SUZARA VILLACARLOS FNP NPI 1861926263

NPI Information

NPI: 1861926263
Provider Name: MRS. ANDREA SUZARA VILLACARLOS, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
701 E HARVARD ST APT 9
GLENDALE, CA
ZIP 91205
Phone: (562) 673-0701
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MRS. Andrea Suzara Villacarlos, FNP is a family nurse practitioner in Glendale, CA. MRS. Andrea Suzara Villacarlos, FNP NPI is 1861926263. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

701 E HARVARD ST APT 9
GLENDALE, CA
ZIP 91205-174
Phone: (562) 673-0701

The NPI 1861926263 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/12/2017 and was last updated on 4/12/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	95005473	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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