Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEO VILLAVICENCIO
Active Sole ProprietorLEO VILLAVICENCIO is a General Practice Nurse healthcare provider located in DETROIT, Michigan. NPI 1629821475 is currently active in the NPPES registry. Verify at CMS.
General Practice Nurse · DETROIT, MI
Registration Details
- NPI Number
- 1629821475
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 10, 2024 (2.1566500589445 yrs)
- Last Updated
- Apr 10, 2024
- License
-
4704195807 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4646 JOHN R STDETROIT, MI, 482011916Browse MI providers · Browse ZIP 48201
- Phone
- 3135761000
- Primary Specialty
-
General Practice Nurse
163WG0000X
Other General Practice Nurse Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. DONNA NEALOUS BROWN | RN | 1730296070 |
| TONYA MORRIS | REGISTERED NURSE | 1841745262 |
| TANIKA ARNOLD | RN | 1336640903 |
| ANDREA MICHELLE MARSHALL-DIVER | — | 1184265639 |
| MS. SHELLY CROMERKENNEDY | RN | 1265033831 |
| FRANKIE DIJONNAY ANNA-MARIE JACKSON | — | 1467042002 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.