Elizabeth Villavicencio is a Staten Island, New York based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Elizabeth Villavicencio is F3814531 for Pediatrics in New York. Her current practice location is 347 Edison St, Staten Island. Patients can reach her at 718-351-1136 or can fax her at 718-667-9711. Elizabeth Villavicencio is NURSE PRACT with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1790772010. Elizabeth Villavicencio specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Elizabeth Villavicencio speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Elizabeth Villavicencio
Specialization:
Pediatrics Nurse Practitioner (PNP)
Gender:
Female
Credentials:
NURSE PRACT
Practice Address:
347 Edison St, Staten Island, New York, 10306-3034
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1790772010
NPI Enumeration Date:
03 Oct, 2005
NPI Last Update On:
09 Nov, 2012
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Elizabeth Villavicencio are as mentioned below.
License Number
Specialization
State
Status
F3814531
Pediatrics
New York
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Elizabeth Villavicencio such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
02389417
Medicaid
New York
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Elizabeth Villavicencio 2031 Forest Ave, Staten Island, New York
Zip:
10303-1796
Patients can reach Elizabeth Villavicencio at 347 Edison St, Staten Island, New York or can call to book an appointment on 718-351-1136.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.