MARIE DESIREE VILLARUZ LACANDOLA APRN NPI 1962837419

NPI Information

NPI: 1962837419
Provider Name: MARIE DESIREE VILLARUZ LACANDOLA, APRN
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
201 HILDA ST STE 12
KISSIMMEE, FL
ZIP 34741
Phone: (407) 933-6626
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Marie Desiree Villaruz Lacandola, APRN is an adult health nurse practitioner in Kissimmee, FL. Marie Desiree Villaruz Lacandola, APRN NPI is 1962837419. 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:

201 HILDA ST STE 12
KISSIMMEE, FL
ZIP 34741-359
Phone: (407) 933-6626
Fax: (407) 933-6628

The NPI 1962837419 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 9/3/2013 and was last updated on 9/26/2020.

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	363LA2200X	Nurse Practitioner	Adult Health	ARNP9271357	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	010300300	MEDICAID	FLORIDA

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: 4/28/2024

NPI Synchronization or Removal

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